기질성 정신장애(Organic mental disorder)
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기질성 정신장애(Organic mental disorder)
목차
Ⅰ. Overview
1. Classification(DSM-IV-TR)
2. ICD-10 Classification
3. laboratory examination
4. clinical features of organic vs functional disorders
Ⅱ. Delirium(섬망)
1. EPIDEMIOLOGY
2. ETIOLOGY
3. Dx. & CLINICAL FEATURES
4. PHYSICAL & LABORATORY EXAMINATIONS
5. DDx
6. COURSE AND PROGNOSIS
7. TREATMENT
Ⅲ. Dementia(치매)
1. EPIDEMIOLOGY
2. ETIOLOGY
3. DIAGNOSIS AND CLINICAL FEATURE
4. PATHOLOGY, PHYSICAL FINDING, & LABORATORY EXAMINATION
5. DIFFERENTIAL DIAGNOSIS
6. COURSE & PROGNOSIS
7. TREATMENT
Ⅳ. Amnestic Disorders(기억상실장애)
1. EPIDEMIOLOGY
2. ETIOLOGY
3. DIAGNOSIS
4. CLINICAL FEATURES & SUBTYPES
5. PATHOLOGY & LABORATORY EXAMINATION
6. DIFFERENTIAL DIAGNOSIS
7. COURSE AND PROGNOSIS
8. TREATMENT
Ⅴ. Mental Disorders Due to a General Medical Condition
1. MOOD DISORDER d/t GMC
2. PSYCHOTIC DISORDER d/t GMC
3. SPECIFIC DISORDERS
본문내용
Ⅰ. Overview
‣ DSM-IV에서 인지기능장애의 세가지 주요 증후군은 Delirium(섬망), Dementia(치매),
Amnestic disorder(기억상실장애)이다.
• cognition(memory, language, attention)의 impairment가 common primary symptom
• 다른 질환에서도 인지 장애 증상은 있지만 cardinal Sx.은 아니다.
‣ Organic vs Functional (과거 통용되어왔던 구분 개념)
• Organic brain syndrome(OBS) or Organic mental disorders(OMD) : identifiable
pathology( (예: brain tumor, cerebrovascular disease, drug intoxication)가 있고, 치료
에 neurology가 관여)
• Functional disorders : no organic basis (예 :schizophrenia, depression), 치료에
psychiatry가 관여
‣ DSM-IV의 개념으로 보자면, 모든 psychiatric disorders가
organic(neurobiological/neurochemical) component를 가지고 있으므로, DSM-IV-TR에서는
functional과 organic은 사용 않는다
1. Classification(DSM-IV-TR)
1) Delirium
* Short-term confusion & changes in cognition
* 4개의 subcategories
① general medical condition (infection)
② substance induced (cocaine, opioids, PCP)
③ multiple causes (head trauma, kidney dis)
④ delirium NOS (sleep deprivation)
참고 자료
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