Bipolar Flashcards

0
Q

Bipolar I - labs?

A
CBC and lytes
RPR/VDRL - syphillis check
UA - drug screen
CT - head is normal 
EVERYTHING IS NORMAL
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1
Q

Bipolar I sx?

A

pressured speech
speech is rapid
thought process is quickly skipped from one idea to another - “flight of ideas” (and pt is aware)
inability to answer simple and direct

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2
Q

What is bipolar dz?

A

common and recurrent

oscillating mood, energy, and ability to fxn - cannot hold a job

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3
Q

Bipolar mood episodes?

A

manic
hypomanic
depressive (MDD)

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4
Q

Manic vs hypomanic episodes?

A
4 days (hypomanic) to 7 days (manic)
hypomanic is less severe but same sx
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5
Q

Manic and hypomanic sx?

A

at least 3 mood elevation sx

  • inflated self esteem*
  • decreased need for sleep
  • over talkativeness*
  • flight of ideas*
  • distractibility
  • excessive goal-directed/psychomotor agitation
  • impulsivity (shopping)
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6
Q

Bipolar I?

A
Bipolar I: 
-ONE manic episode
-MDD (most people have it but not dx)
specifiers
-anxious distress --> bipolar I w/ anxiety 
-mixed features
-rapid cycling (4 sx/12 mo)
-melancholic features (looks sad)
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7
Q

Bipolar II?

A

-ONE HYPOmanic AND one MDD
-NO MANIC EPISODE
specifiers
-hypomanic/depressed
-anxious, distressed, mixed, rapid cycling
-partial remission, full remission

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8
Q

MDD and does not get better?

A

MDD AND PDD

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9
Q

MDD that does not get better + hypomanic?

A

Bipolar II w/ PDD

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10
Q
  • hx of MDD
  • talking superiority *
  • staying up all night *
  • hypomanic
  • chatting familiarly w/ strangers (very talkative)
A

bipolar II

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11
Q

Bipolar disorder I tx?

A
  • mood stabilizers (lithium, valproate)
  • neuroleptics (olanzapine)
  • benzos (agitation/psychosis)
  • antidepressants: titrate
  • ECT
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12
Q

Bipolar disorder II tx?

A

first line: mood stabilizers (lithium, valproate)

antidepressants

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13
Q

Cyclothymic disorder?

A

hypomania + depressive sx for 2 yrs

does NOT meet bipolar criteria for episodes

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14
Q

Mixed feature episodes?

A

using specifier for hypomanic or manic episodes

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