Quiz #2 Bipolar Related Disorders

Front 1

BIPOLAR I DISORDER DIFFERS FROM FROM THE PREVIOUS DIAGNOSIS IN THAT NEITHER __________ NOR THE LIFETIME EXPERIENCE OF ___________ _______ EPISODE IS A REQUIREMENT.

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1. PSYCHOSIS
2. MAJOR DEPRESSIVE DISORDER

Front 2

BIPOLAR II DISORDER WHICH REQUIRES THE LIFETIME EXPERIENCE OF AT LEAST ONE EPISODE OF MAJOR DEPRESSION AND a HYPOMANIC EPIDOSE. IS NO LONGER THOUGHT TO BE "MILDER" CONDITION THAN BIPOLAR I DISORDER. LARGELY BECAUSE OF THE
1. AMOUNT OF ___________ TIME SPENT
2. THE _________ OF _______ EXPERIENCED BY INDIVIDUALS WITH BIPOLAR II DISORDER. WHICH IS TYPICALLY ACCOMPANIED WITH SERIOUS __________ IN WORK AND SOCIAL _____________

Back 2

DEPRESSIVE TIME
INSTABILITY of MOOD

IMPAIRMENT
FUNCTIONING.

Front 3

THE DIAGNOSIS OF ___________ DISORDER IS GIVEN TO ADULTS WHO EXPERIENCE AT LEAST 2 YEARS (FOR CHILDREN IS _______ FULL YEAR), OF BOTH :
1. _________
2. _____________ _______ WITHOUT EVER FULFILLING THE CRITERIA FOR EPISODE OF MANIA, HYPOMANIA, OR MAJOR DEPRESSION.

Back 3

CYCLOTHYMIC DISORDER

CHILDREN WHO EXPERIENCE 1 FULL YEAR.

1. HYPOMANIC
2. DEPRESSIVE PERIODS

Front 4

A LARGE NUMBER OF SUBSTANCE ABUSE, PRESCRIBED MEDICATIONS AND SEVERAL MEDICAL CONDITIONS CAN BE ASSOCIATED WITH __________-_________ PHENOMENA.

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MANIC- LIKE PHENOMENA.

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FOR DIAGNOSIS OF BIPOLAR I DISORDER IT IS NECESSARY TO MEET THE CRITERIA FOR A ______________ EPISODE. THE MANIC EPISODE MAY HAVE BEEN PRECEDED OR FOLLOWED BY ________-__________ EPISODES OR MAY BE FOLLOWED BY MAJOR _________ __________

Back 5

MANIC
1. HYPOMANIC EPISODES
2. MAJOR DEPRESSIVE EPISODES.

Front 6

A MANIC EPISODE IS A DISTINCT PERIOD OF ABNORMALLY AND PERSISTENTLY ELEVATED OR ______________ _________ AND INCREASED ________-__________ ACTIVITY OR ENERGY. LASTING _____ WEEK AND PRESENT MOST OF THE DAY, NEARLY ___________ DAY.

Back 6

IRRITABLE MOOD
GOAL - DIRECTED ACTIVITY .
LASTING 1 WEEK AND PRESENT MOST OF THE DAY, NEARLY EVERY DAY.

Front 7

FOR A MANIC EPISODE TO BE PRESENT AT LEAST 3 OF THE FOLLOWING AND AT LEAST 4 IF ONLY OF IRRITABLE MOOD SHOULD BE PRESENT TO A SIGNIFICANT DEGREE:
1. _____________ SELF-ESTEEM OR GRANDIOSITY
2. ________ NEED FOR SLEEP (3 HRS IS ENOUGH)
3. MORE __________ THAN USUAL OR _________ TO KEEP TALKING.
4. _________ OF IDEAS OR __________ EXPERIENCE THAT THOUGHTS ARE RACING.
5. EASILY __________
6. INCREASE IN _______-______ ACTIVITY (SOCIALLY, WORK, SCHOOL, SEXUALLY). OR PSYCHOMOTOR _______________
7. EXCESSIVE INVOLVEMENT IN ACTIVITIES THAT HAVE HIGH POTENTIAL FOR ___________ CONSEQUENCES. SEXUAL INDISCRETIONS, UNRESTRAINED BUYING SPREES, FOOLISH BUSINESS)

Back 7

1. INFLATED SELF ESTEEM
2. DECREASED NEED FOR SLEEP.
3. MORE TALKATIVE / PRESSURE
4. FLIGHT OF IDEAS/ SUBJECTIVE
5. DISTRACTED.
6. GOAL-DIRECTED
7. PAINFUL CONSEQUENCES.

Front 8

FOR A MANIC EPISODE TO BE CONSIDERED, THE MOOD DISTURBANCE SHOULD BE SEVERE ENOUGH TO CAUSE _______ ___________ IN SOCIAL OR OCCUPATIONAL FUNCTIONING.

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SEVERE IMPAIRMENT.

Front 9

****FOR A MANIC EPISODE TO BE CONSIDERED THE MOOD DISTURBANCE SHOULD BE SEVERE ENOUGH TO ______________ ___________ TO PREVENT HARM TO SELF OR OTHERS OR THERE ARE _________________ FEATURES.

Back 9

NECESITATE HOSPITALIZATION.


PSYCHOTIC FEATURES.

Front 10

FOR A MANIC EPISODE TO BE CONSIDERED THE EPISODE IS NOT ATTRIBUTABLE TO THE ______________ EFFECTS OF A SUBSTANCE e.g:
1. A ________ OF ABUSE
2. ________
3. OTHER TREATMENT OR TO ANOTHER MEDICAL CONDITION.

Back 10

PHYSIOLOGICAL
1. A DRUG OF ABUSE
2. MEDICATION

Front 11

*** NOTE*** A FULL MANIC EPISODE THAT EMERGES DURING ANTIDEPRESSANT TREATMENT (E.G. MEDICATION, ELECTROCONVULSIVE THERAPY) BUT PERSISTS AT A FULLY SYNDROMAL LEVEL BEYOND THE PHYSIOLOGICAL EFFECT OF THAT TREATMENT IS _______________ EVIDENCE FOR A MANIC EPISODE AND THEREFORE A BIPOLAR I DISORDER.

Back 11

SUFFICIENT EVIDENCE.

Front 12

ALL OF THE CRITERIA MENTIONED ABOVE CONSTITUTES A ___________ __________ . AT LEAST ____ LIFETIME MANIC EPISODE IS REQUIRED FOR THE DIAGNOSIS OF _______________ _______ _____________

Back 12

MANIC EPISODE.
ONE
BIPOLAR I DISORDER.

Front 13

HYPOMANIC EPISODE

Back 13

HYPOMANIC EPISODE

Front 14

IN A HYPOMANIC EPISODE IS A DISTINCT PERIOD OF ABNORMALLY AND PERSISTENTLY ______________OR ___________ MOOD AND INCREASED _____________ __________ ( NOT GOAL DIRECTED LIKE IN THE MANIC) . LASTING _____ DAYS (NOT 1 WEEK LIKE IN THE MANIC) AND PRESENT MOST OF THE DAY, NEARLY ___________ DAY.

Back 14

ELEVATED,
IRRITABLE
ACTIVITY OR ENERGY

4 DAYS

Front 15

FOR A HYPOMANIC EPISODE HAS THE SAME SYMPTOMS AS A MANIC EPISODE THE DIFFERENCE IS THAT IT LASTS 4 DAYS INSTEAD OF A WEEK. AND IT IT NOT SEVERE ENOUGH TO CAUSE MARKED IMPAIRMENT IN SOCIAL OR OCCUPATIONAL FUNCTIONING OR TO NECESSITATE HOSPITALIZATION.

Back 15

IF THERE ARE PSYCHOTIC FEATURES, THE EPISODE BY DEFINITION IS MANIC.

Front 16

IF THERE ARE ______________ FEATURES, THE EPISODE IF BY DEFINITION MANIC!!!

Back 16

PSYCHOTIC

Front 17

A FULL HYPOMANIC EPISODE THAT EMERGES DURING ________________ ____ BUT PERSISTS WITH ALL THE SYMPTOMS. BEYOND THE EFFECTS OF THE DRUG THEN THEY ARE SUFFICIENT EVIDENCE FOR HYPOMANIC EPISODE DIAGNOSIS.

Back 17

ANTIDEPRESSANT USE

Front 18

HYPOMANIC EPISODES ARE COMMON IN _____________ I DISORDER BUT ARE NOT REQUIRED FOR THE DIAGNOSIS OF __________ _ DISORDER.

Back 18

BIPOLAR I

BIPOLAR I DISORDER.

Front 19

MAJOR DEPRESSIVE EPISODE !

Back 19

MAJOR DEPRESSIVE EPISODE !

Front 20

FIVE OR MORE OF THE FOLLOWING HAVE BEEN PRESENT DURING THE SAME 2 WEEK PERIOD AND REPRESENT A CHANGE FROM PREVIOUS FUNCTIONING. AT LEAST 1 OF THE SYMPTOMS IS EITHER :
1. ___________ MOOD
2. _____________ OF INTEREST OR _____

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1. DEPRESSED MOOD
2. LOSS OF INTEREST OR PLEASURE.

Front 21

MAJOR DEPRESSIVE EPISODE MUST INCLUDE 5 OR MORE OF THESE:
MUST MUST INCLUDE EITHER OR BOTH :
1. DEPRESSED ________ OR LOSS OF INTEREST OR ___________.
3. SIGNIFICANT _________ LOSS /_________. ________ IN APPETITE
4. INSOMNIA OR HYPERSOMNIA
5. _____________ AGITATION OR RETARDATION.
6. FATIGUE OR ___________ OF ENERGY NEARLY EVERY DAY.
7. FEELINGS OF _________ OR EXCESSIVE OR INAPPROPRIATE GUILT (MAY BE DELUSIONAL)
8. DIMINISHED ABILITY TO CONCENTRATE OR ___________
9. RECURRENT THOUGHTS OF _________, _________ IDEATION OR ________ ATTEMPT.

Back 21

1.MOOD / PLEASURE
3. WEIGHT LOSS/ GAIN ( CHANGE IN APPETITE)
5.PSYCHOMOTOR.
6.LOSS OF ENERGY
7. WORTHLESSNESS.
8. INDECISIVENESS
9. THOUGHTS OF DEATH, RECURRENT SUICIDAL IDEATION, SUICIDE ATTEMPT.

Front 22

FROM THE 9 SYMPTOMS MENTIONED ABOVE, THEY CAUSE ____________ SIGNIFICANT ________ OR __________ IN SOCIAL, OCCUPATIONAL OR OTHER IMPORTANT AREAS IN FUNCTIONING.

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CLINICALLY
DISTRESS OR IMPAIRMENT.

Front 23

REMEMBER THAT JUST LIKE HYPOMANIC EPISODE, ____________ __________ ______________ IS COMMON IN BIPOLAR I DISORDER HOWEVER IT IS NOT REQUIRED FOR THE DIAGNOSIS OF BIPOLAR I DISORDER.

Back 23

MAJOR DEPRESSIVE EPISODE

** ONE MUST ALSO CONSIDER THAT IN SITUATIONS OF A MAJOR LOSS, ALTHOUGH A PERSON MAY HAVE UNDERSTANDABLE SYMPTOMS OF A NORMAL RESPONSE, A MEJOR DEPRESSIVE EPISODE SHOULD ALSO BE CONSIDERED.

Front 24

IN ORDER FOR BIPOLAR I DISORDER TO BE DIAGNOSED THE CRITERIA MUST HAVE BEEN MET FOR AT LEAST ________ _________ EPISODE

Back 24

ONE MANIC EPISODE!!.

Front 25

DIAGNOSTIC FEATURES OF BIPOLAR I DISORDER

ESSENTIAL FEATURE OF A MANIC EPISODE: DISTINCT PERIOD DURING WHICH THERE IS AN ABNORMALLY PERSISTENTLY ELEVATED, EXPANSIVE OR IRRITABLE MOOD AND INCREASED ACTIVITY FOR AT LEAST 1 WEEK.

Back 25

**

Front 26

MOOD IN A MANIC EPISODE IS DESCRIBED AS _______________, EXCESSIVELY CHEERFUL, HIGH OR FEELING ON TOP OF THE WORLD.

Back 26

EUPHORIC.

Front 27

MANIC EPISODE MAY BE CHARACTERIZED BY UNLIMITED AND HAPHAZARD _____________ FOR INTERPERSONAL, SEXUAL OR OCCUPATIONAL INTERACTION

Back 27

ENTHUSIASM.

Front 28

DURING A MANIC EPISODE THERE MAY ALSO BE BRIEF PERIODS OF TIME WHICH MAY OCCUR, THESE ARE ALTERNATION BETWEEN EUPHORIA, DYSPHORIA AND IRRITABILITY. THIS MAY BE REFERRED TO AS ______________

Back 28

LABILITY.

Front 29

DURING THE MANIC EPISODE:
1. _____________ SELF ESTEEM. UNCRITICAL SELF CONFIDENCE, GRANDIOSITY. THIS MAY REACH DELUSIONAL PROPORTIONS.

Back 29

INFLATED SELF ESTEEM.

Front 30

DURING THE MANIC EPISODE THERE WILL ALSO BE A
2. _________ NEED FOR SLEEP. THIS IS DIFFERENT FROM INSOMNIA, SINCE IN THIS CASE THE PERSON DOES NOT FEEL THE NED TO SLEEP FOR DAYS.

Back 30

DECREASED NEED FOR SLEEP.

Front 31

3. THE SPEECH CAN ALSO BE ____________ , _________, LOUD AND DIFFICULT TO INTERRUPT. LOUDNESS AND FORCEFULNESS OF SPEECH MAY ALSO BE PRESENT.

Back 31

RAPID , PRESSURED

Front 32

OFTEN THE INDIVIDUALS THOUGHTS GO FASTER THAN THEY CAN EXPRESS, THERE IS __________ OF IDEAS AND THIS IS DEMONSTRATED BY ACCELERATED SPEECH SWITCHING FROM ONE TOPIC TO THE NEXT. THE SPEECH MAY ALSO BECOME ___________ AND INCOHERENT.

Back 32

FLIGHT OF IDEAS

DISORGANIZED.

Front 33

5. THE DISTRACTIBILITY PRESENT DURING MANIC EPISODE COMES FROM THE INABILITY TO _____ EXTERNAL STIMULI.

Back 33

CENSOR.

Front 34

6. INCREASED ________-_______ ACTIVITY CAN BE PRESENTED IN INCREASED SEXUAL DRIVE, WRITING EXCESSIVELY, RESTLESSNESS..

Back 34

GOAL DIRECTED ACTIVITY.

Front 35

7. MANIC EPISODES WILL ALSO BE LINKED TO INVOLVEMENT IN ___________ACTIVITIES.

Back 35

RECKLESS

Front 36

** AS MENTIONED EARLIER, THE MANIC EPISODE MUST RESULT IN MARKED IMPAIRMENT IN SOCIAL OR OCCUPATIONAL FUNCTIONING OR REQUIRE HOSPITALIZATION TO PREVENT HARM TO OTHERS.

Back 36

**

Front 37

DURING A MANIC EPISODE INDIVIDUALS DO NOT PERCEIVE THEMSELVES AS ______ OR IN NEED OF _________ AND RESITS EFFORTS TO BE TREATED. HOSTILITY, MOOD SHIFTS, SHARPER SENSE OF SMELL, HEARING OR VISION AMONG OTHERS COULD PRESENT. DEPRESSIVE SYMPTOMS MAY ALSO OCCUR DURING A MANIC EPISODE.

Back 37

ILL

TREATMENT.

Front 38

MEAN AGE OF ONSET OF THE FIRST MANIC, HYPOMANIC, OR MAJOR DEPRESSIVE EPISODE IS APPROXIMATELY ______ YEARS FOR BIPOLAR I DISORDER

Back 38

18 YEARS

** WITH CHILDREN, EACH CHILD SHOULD BE JUDGED ACCORDING TO HIS OR HER BASELINE.

Front 39

ONSET OF MANIC SYMPTOMS IN LATE MIDLIFE OR LATE LIFE SHOULD PROMT CONSIDERATION OF ____________ CONDITIONS AND OF ____________ INGESTION OR WITHDRAWAL.

Back 39

MEDICAL

SUBSTANCE

Front 40

APPROXIMATELY ________ OF INDIVIDUALS WHO HAVE MANIC EPISODES OCCURS IMMEDIATELY BEFORE A MAJOR DEPRESSIVE EPISODE

Back 40

60%

Front 41

ENVIRONMENTAL FACTORS:
BIPOLAR DISORDER IS MORE COMMON IN ______ INCOME COUNTRIES. SEPARATED, DIVORCED OR WIDOWED INDIVIDUALS HAVE ________ RATES.

Back 41

HIGH

HIGHER

Front 42

THERE IS AN AVERAGE _______ FOLD INCREASE RISK AMONG ADULT RELATIVES OF INDIVIDUALS WITH BIPOLAR I AND II DISORDERS.

Back 42

10.

Front 43

AFTER AN INDIVIDUAL HAS A MANIC EPISODE WITH PSYCHOTIC FEATURES, SUBSEQUENT MANIC EPISODES ARE _________ LIKELY TO INCLUDE PSYCHOTIC FEATURES.

Back 43

MORE

Front 44

INDIVIDUALS WITH BIPOLAR I DISORDER WHO HAVE AT LEAST 4 MOOD EPISODES WITHIN 1 YEAR RECEIVE A SPECIFIER FILTER OF _________ ______ _______

Back 44

WITH RAPID CYCLING.

Front 45

_______ ARE MORE LIKELY TO EXPERIENCE RAPID CYCLING, MIXED STATES AND HAVE PATTERNS OF COMORBIDITY DIFFERENT FROM MALES. HOWEVER THE GENDER RATIO IS EQUAL.

Back 45

FEMALES.

Front 46

______ WITH BIPOLAR I OR II ARE MORE LIKELY TO EXPERIENCE DEPRESSIVE SYMPTOMS THAN MALES.

Back 46

FEMALES

Front 47

DIFFERENTIAL DIAGNOSIS

Back 47

DIFFERENTIAL DIAGNOSIS

Front 48

MAJOR DEPRESSIVE DISORDER MAY ALSO BE ACCOMPANIED BY __________ OR __________ SYMPTOMS.** THESE ARE FEWER SYMTOMS OR FOR SHORTER DURATION THAN REQUIRED FOR MANIA OR HYPOMANIA**

Back 48

MANIC OR HYPOMANIC

Front 49

SYMPTOMS OF IRRITABILITY MAY BE ASSOCIATED WITH EITHER ______________ DEPRESSIVE DISORDER OR ______________ DISORDER, ADDING TO DIAGNOSTIC COMPLEXITY.

Back 49

MAJOR DEPRESSIVE DISORDER
BIPOLAR DISORDER

Front 50

DIAGNOSIS OF BIPOLAR I DISORDER IS DIFFERENTIATED FROM BIPOLAR II DISORDER BY DETERMINING WHETHER THERE HAVE BEEN ANY PAST EPISODES OF _______________

Back 50

MANIA.

Front 51

BIPOLAR II DISORDER

Back 51

BIPOLAR II DISORDER

Front 52

BIPOLAR II DISORDER
** FOR DIAGNOSTIC OF BIPOLAR II DISORDER, IT IS NECESSARY TO MEET THE CRITERIA FOR CURRENT OR PAST _______ EPISODE ______ THE CRITERIA FOR A CURRENT OR PAST _________ ________ EPISODE

** AND THERE HAS NEVER BEEN A MANIC EPISODE !

Back 52

BIPOLAR II DISORDER

1. HYPOMANIC EPISODE
2. AND!!!
3. MAJOR DEPRESSIVE EPISODE

Front 53

THE MAJOR DEPRESSIVE EPISODE MUST LAST AT LEAST ________ WEEKS AND THE HYPOMANIC EPISODE MUST LAST AT LEAST _____ DAYS

Back 53

1. 2 WEEKS
2. 4 DAYS

Front 54

** PEOPLE WITH BIPOLAR II USUALLY GO TO THE CLINICIAN COMPLAINING OF A MAJOR DEPRESSION (MANY HAVE MANY EPISODES). MOST OF THEM DO NOT COMPLAIN OF HYPOMANIA.

Back 54

BIPOLAR II SUFFERERS HAVE GREATER CHRONICITY OF THE ILLNESS AND SPEND MORE TIME IN THE DEPRESSIVE STATE.

Front 55

A COMMON FEATURE OF BIPOLAR II DISORDER IS ________________

Back 55

IMPULSIVITY.

Front 56

MEAN AGE OF ONSET FOR HYPOMANIC, MANIC AND MAJOR DEPRESSIVE EPISODE IS APPROXIMATELY ____ YEARS FOR BIPOLAR I, AND MID _______ FOR BIPOLAR II

Back 56

18

MID 20'S

Front 57

APPROXIMATELY ______/_______ OF INDIVIDUALS WITH BIPOLAR II DISORDER REPORT A LIFETIME HISTORY OF SUICIDE ATTEMPT

Back 57

1/3

Front 58

THE DIFFERENCE BETWEEN BIPOLAR II AND CYCLOTHYMIC DISORDER IS THE OCCURRENCE OF AT LEAST ONE ORE MORE ________ ________ EPISODES

Back 58

MAJOR DEPRESSIVE EPISODE.
** IF A MDE OCCURS AFTER 2 YEARS OF CYCLOTHYMIC DISORDER THEN THE DIAGNOSIS FOR BIPOLAR II IS GIVEN.

Front 59

**CYCLOTHYMIC DISORDER
- DIAGNOSTIC CRITERIA

Back 59

**CYCLOTHYMIC DISORDER
-DIAGNOSTIC CRITERIA

Front 60

A. AT LEAST _____ YEARS ( ____ IN CHILDREN AND ADOLESCENTS), NUMEROUS PERIODS OF ___________ SYMPTOMS AND __________ SYMPTOMS THAT DO ______MEET CRITERIA FOR HYPOMANIC EPISODE AND MAJOR DEPRESSIVE EPISODE. AND THE INDIVIDUAL HAS NOT BEEN W/OUT THE SYMPTOMS FOR MORE THAN ___ MONTHS AT A TIME.

Back 60

. 2 YEARS
1
HYPOMANIC
DEPRESSIVE SYMPTOMS.
NOT
2 MONTHS.

Front 61

***IN A CYCLOTHYMIC DISORDER THE CRITERIA FOR MAJOR DEPRESSIVE, MANIC OR HYPOMANIC HAVE NEVER BEEN MET.

Back 61

**THE SYMPTOMS ARE NOT ATTRIBUTABLE TO OTHER DISORDERS OR SUBSTANCE ABUSE!.

Front 62

CYCLOTHYMIC DISORDER USUALLY BEINGS IN _______ OR EARLY ___________ LIFE.

Back 62

ADOLESCENCE OR EARLY ADULT LIFE.

Front 63

CHILDREN WITH CYCLOTHYMIC DISORDER AND MORE LIKELY THAN OTHER PEDIATRIC PATIENTS WITH MENTAL DISORDERS TO HAVE COMORBID ________ __________/__________ ___________

Back 63

ATTENTION DEFICIT/ HYPERACTIVITY DISORDER.

Front 64

SUBSTANCE/ MEDICATION - INDUCED BIPOLAR AND RELATED DISORDER

Back 64

SUBSTANCE/ MEDICATION - INDUCED BIPOLAR AND RELATED DISORDER

Front 65

A. PROMINENT AND PERSISTENT DISTURBANCE IN _____________ THAT PREDOMINATES IN THE CLINICAL PICTURE AND IS CHARACTERIZED BY ELEVATED, EXPANSIVE OR _______________ MOOD WITH OR W/OUT _________ MOOD.

Back 65

MOOD
IRRITABLE
DEPRESSED.

Front 66

B. THERE IS EVIDENCE OF THESE TWO :
1. THE SYMPTOMS DEVELOPED DURING OR SOON AFTER___________ ____________ OR WITHDRAWAL OR AFTER EXPOSURE TO A ___________

Back 66

SUBSTANCE INTOXICATION

MEDICATION

Front 67

THE DISTURBANCE IS NOT BETTER EXPLAINED BY OTHER CONDITIONS, IT DOES NOT OCCUR DURING DELIRIUM AND IT CAUSES SIGNIFICANT DISTRESS OR IMPAIRMENT.

Back 67

* THIS CONDITION OCCURS W/IN HOURS AND AT MOST FEW DAYS OF INGESTION OR INHALATION.

Front 68

THE DRUGS THAT ARE LINKED TO SUBSTANCE/ MEDICATION- INDUCED BIPOLAR AND RELATED DISORDERS INCLUDE THE STIMULANT CLASS OF DRUGS AS WELL AS ____________ AND STEROIDS, (_________ SALTS ARE NEWLY SYNTHESIZED COMPOUNDS)

Back 68

PHENCYCLIDINE AND STEROIDS

BATH SALTS.

Front 69

* MARKERS CAN BE FOUND TROUGH BLOOD AND URINE SAMPLES.

Back 69

**

Front 70

BIPOLAR AND RELATED DISORDERS DUE TO ANOTHER MEDICAL CONDITION

* A PROMINENT AND PERSISTENT PERIOD OF ABNORMALLY ELEVATED, EXPANSIVE OR IRRITABLE MOOD AND ABNORMALLY INCREASED ACTIVITY OR ENERGY THAT PREDOMINATES IN THE CLINICAL PICTURE THAT IS ATTRIBUTABLE TO ANOTHER MEDICAL CONDITION.

Back 70

AMONG THE BEST KNOWN OF THE MEICAL CONDITIONS THA CAN CAUSE BIPOLAR MANIC OR HYPOMANIC CONDITIONS ARE :
1. CUSHING'S DISEASE
2. MULTIPLE SCLEROSIS.
3. STROKE
4. TRAUMATIC BRAIN INJURIES.

Front 71

IN THE CASE OF STEROID LEVELS IN THE BLOOD OR URINE HELP TO CORROBORATE THE DIAGNOSIS OF CUSHING'S DISEASE WHICH CAN BE ASSOCIATED WITH MANIC OR DEPRESSIVE SYNDROMES.

Back 71

*