Mania Flashcards
1
Q
ICD10 symptoms of mania? (11)
A
DIG FAST: D - distractibility I - indiscretion (lack of judgement e.g. overspending) G - grandiosity (increased self esteem) F - flight of ideas A - activity increase S - sleep deficit T - talkativeness Elated, irritable (80%) Hyperactive Delusions (48%) Hallucinations (15%)
2
Q
Mania is the opposite of which affective disorder?
A
Depression
3
Q
How much % of patients with depression have mania, and what disorder can this lead to?
A
10%
Bipolar
4
Q
How long do the symptoms have to last for in mania to clinically diagnose?
A
1 week
5
Q
What is hypomania? Are psychotic feature present?
A
Persistent mild elevated mood, for a few days
No
6
Q
Acute Management of mania? (2)
A
Antipsychotic (Olanzapine) PO Valproate PO (mood stabilsier)
7
Q
Prophylaxis?
A
Lithium
8
Q
Organic causes of Mania? (4)
A
neurological - CVA, epilepsy, brain tumour, MS
endocrine - hyperthyroidism
medication - steroids, A/D
substance misuse - cannabis, cocaine, amphetamines
