Conversion Disorder

Category: generalpediatrics-Psychiatry

Findings: transient neurological abnormality after traumatic event that self-resolves

Night Terror

Category: generalpediatrics-Psychiatry

Findings: no recall of event, walking during episodes, occurs during first third of sleep, treated by waking up shortly before regular occurrences

Question: What fits these findings?

Nightmare

Category: generalpediatrics-Psychiatry

Findings: recall of episode, no walking during episode, occurs during last third of sleep

Notes: Occurs during REM sleep

Phencyclidine (PCP)

Category: generalpediatrics-Psychiatry

Findings: pupil constriction, tachycardia, hypertension, nystagmus, altered mental state, combative

Question: What substance causes these findings?

Stimulants

Category: generalpediatrics-Psychiatry

Findings: narcolepsy

Notes: Stimulants such as methylphenidate and dextroamphetamine, and then REM suppressants such as SSRI and TCAs are used to treat narcolepsy. Confirm diagnosis with polysomnography with multiple sleep latency tests.

Question: What class of medication treats the following?

Suicidal Ideation

Category: generalpediatrics-Psychiatry

Findings: anorexia nervosa or bulimia

Notes: There is a greatly increased risk of suicide in patients with these eating disorders.

Question: What co-morbidity should you screen for given the following issues?