Term
| What are the subtypes of bipolar disorder |
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Definition
Bipolar I: mania and depression
Bipolar II: Hypomania and Depression
Bipolar NOS: Mixed episode, rapid cycling etc.
Cyclothymia: Fluctuatng moods not severe enough |
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Term
| What is mixed episode and rapid cycling types of bipolar disorder |
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Definition
Mixed: Mania w/ depressed feelings
Rapid cycling: 4 changes in mood in 1 year |
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Term
| When is the typical onset of bipolar disorder? |
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Definition
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Term
| How do episodes progress as treatment is forgone? |
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Definition
| Episodes become more severe, harder to treat and increase the chance of recurrance |
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Term
| What are the treatment guidelines based on the number of episodes of Bipolar fluctuations |
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Definition
1st episode: 9-12 months
2nd Episode: 3-5 years
3rd Episode: Lifetime |
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Term
| What is the most common misdiagnosis of bipolar disorder |
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Definition
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Term
| Treatment of bipolar disorder with anti-depressants can cause what side effects |
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Definition
Mania Induction
Mood Instability |
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Term
| What pharmacotherapy is used in acute manic episodes of bipolar disorder |
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Definition
Mild/Moderate: Li or Sodium Valproate or Atypical Antipsychotic
Severe: Li or Sodium Valproate and an atypical antipsychotic |
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Term
| What are the first line drugs used in depressive episodes of bipolar disorder? |
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Definition
| Li, Lamotrigine, Quetiapine(Atypical), Olanzapine/Fluoxetine combo |
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Term
| Screening required with lithium treatment |
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Definition
Urinalysis, Creatinine
Thyroid
CBC
Pregnancy |
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Term
| Do newer anticonvulsants or mood stabilizers have a greater risk to a pregnancy |
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Definition
Mood stabilizer(Li, Carbamazepine, Valproate)
Anticonvulsants(Lamotrigine) is only category C risk |
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