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Mood Disorders
Lecture 18
19
Medical
Graduate
04/12/2011

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Cards

Term
3 neurovegetative features
Definition
sleep disturbances, weight changes, appetite changes
Term
2 DSM criteria absolutely required for MDD
Definition
depressed mood, hypohedonia
Term
define dysthymia
Definition
chronic depression (years) with less severity than MDD (<5 criteria)
Term
define allostasis
Definition
cumulative stresses
Term
2 common co-morbidities of MDD
Definition
substance abuse, anxiety disorders
Term
8 medical etiologies of MDD
Definition
hypothyroidism, Cushing's disease, steroids, drug abuse, pro-inflammatory states (chronic pain, chronic illness), Parkinson's, Alzheimer's
Term
5 risk factors for MDD
Definition
personal hx, family hx, childhood trauma/neglect/abuse, co-morbidities, stress
Term
DSM criteria for MDD
Definition
depressed mood and hypohedonia + at least 5 of the following: fatigue, psychomotor retardation, weight changes, undervaluement of self, suicidal ideation, functional disability, neurovegetative changes
Term
age range affected by MDD
Definition
reproductive years
Term
>65yo pt is diagnosed with MDD; what do you suspect is the etiology?
Definition
vasculopathy co-morbidity
Term
pathology of MDD
Definition
overactive HPA, imbalance of 5-HT, elevated CRF
Term
effect of cortisol on hippocampus
Definition
hippocampal atrophy
Term
pt with 2 long arm alleles for 5-HTT gene; risk of MDD?
Definition
low
Term
bipolar I vs. bipolar II
Definition
I: manic, in-patient, unable to take care of self
II: hypomanic , out-patient, able to take care of self
Term
mania vs. hypomania
Definition
mania: psychosis, ~7d
hypomania: no psychosis, ~4d
Term
define cyclothymia
Definition
>2yrs of manic and depressive episodes; a milder form of bipolar disorder
Term
DSM criteria for bipolar disorder
Definition
persistent hyperactive/irritable mood for >1wk + decreased need for sleep, racing thoughts, grandiosity, distractibility, or hyperhedonia with painful consequences
Term
what drug can be used as prophylaxis for bipolar I?
Definition
lamotrigine
Term
what % of bipolar disorder is misdiagnosed?
Definition
69%
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