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Diseases » Mania » Diagnosis
 

Diagnosis of Mania

Mania Diagnosis: Book Excerpts

Diagnosis of Mania: medical news summaries:

The following medical news items are relevant to diagnosis and misdiagnosis issues for Mania:

Diagnostic Tests for Mania: Online Medical Books

16 MEDICAL BOOKS ONLINE! Review excerpts from medical books online, free, without registration, for more information about diagnostis of Mania.


EUPHORIA: Ask the following questions:
(Algorithmic Diagnosis of Symptoms and Signs)

  1. Is there a history of drug ingestion? The patient will frequently not tell the truth about drug ingestion, but one should ask family and friends about whether the patient uses any illicit drugs such as LSD, marijuana, or cocaine. Other drugs that are prescribed by physicians may cause euphoria, such as corticosteroids and various narcotics.
  2. Is the neurologic examination abnormal? The patient may demonstrate simple disorientation or disturbance in the thought process or excessive jocularity, as may be seen in witzelsucht. All these findings may suggest a frontal lobe tumor, a general paresis, or other forms of dementia. When there are long tract signs, such as posterior column or pyramidal tract involvement, one must consider the possibility of multiple sclerosis or a pontine glioma.
  3. Is there significant incoherence, delusions, or hallucinations? These findings would most likely suggest schizophrenia.
  4. Is the euphoria sustained for long periods, or is it very short-lived? If the euphoria is intermittent and very brief, one should consider temporal lobe epilepsy. If it is more sustained, one would consider manic-depressive psychosis.

DIAGNOSTIC WORKUP

A drug screen should be axiomatic on all patients, as the patient may lie. If this is negative, one may proceed with the more expensive testing, such as MRI, or at least a CT scan to rule out a brain tumor. If these tests are negative and the problem persists, the patient should be referred to a psychiatrist.

 

» READ BOOK EXCERPT ONLINE »

Source: Algorithmic Diagnosis of Symptoms and Signs, 2003

Bipolar disorders: Diagnosis
(Professional Guide to Diseases (Eighth Edition))

For characteristic findings in patients with this condition, see Diagnosing bipolar disorders, pages 452 and 453. Physical examination and laboratory tests, such as endocrine function studies, rule out medical causes of the mood disturbances, including intra-abdominal neoplasm, hypothyroidism, heart failure, cerebral arteriosclerosis, parkinsonism, psychoactive drug abuse, brain tumor, and uremia. Moreover, a review of the medications prescribed for other disorders may point to drug-induced depression or mania.

» READ BOOK EXCERPT ONLINE »

Source: Professional Guide to Diseases (Eighth Edition), 2005

Bipolar disorders: Diagnosis
(Handbook of Diseases)

For characteristic findings in patients with this condition, see Diagnosing bipolar disorders.

Physical examination and laboratory tests, such as endocrine function studies, rule out medical causes of the mood disturbances, including intra-abdominal neoplasm, hypothyroidism, heart failure, cerebral arteriosclerosis, parkinsonism, psychoactive drug abuse, brain tumor, and uremia. Moreover, a review of the medications prescribed for other disorders may point to drug-induced depression or mania.

» READ BOOK EXCERPT ONLINE »

Source: Handbook of Diseases, 2003


 » Next page: Signs of Mania

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