MEDI2022 Lecture Notes - Syndrome Of Inappropriate Antidiuretic Hormone Secretion, Haloperidol, Hypopituitarism

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Defined by the presence of mood episodes. Represent a combination of symptoms comprising a predominant mood state that is abnormal in quality or duration. Depressive: major depressive disorder, dysthymic disorder. Bipolar disorder: bipolar i disorder, bipolar ii disorder, cyclothymic disorder. Secondary: general medical condition, substances, medications. Routine: physical exam, fbc, thyroid function test, electrolytes, urinalysis, urine drug screen. Additional: neuro consult, cxr, ecg, ct scan. Cardiomyopathy, congestive heart failure, myocardial infarct, cerebrovascular accident. Degenerative huntington"s, multiple sclerosis, tuberous sclerosis, vascular dementia, alzheimer"s. Intoxication antihypertensives, antiparkinsonism, hormones, steroids, antituberculous, interferon, antineoplastic medications, vitamin deficiencies (wernicke"s, beriberi, pellagra, pernicious anaemia) Reactive depression: clearly associated with stressful life-events. Endogenous depression: shows familial pattern, unrelated to external stresses. Major depressive disorder (mdd: melancholia, catatonic depression, atypical depression, seasonal affective disorder, postpartum depression. Mood disorders secondary to illness and medications. Depressed mood most of the day, nearly every day, as indicated by either subjective report or observation made by others.

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