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Mood Disorders

imageDefinitions

  • mood disorders are defined by the presence of mood episodes
  • mood episodes represent a combination of symptoms comprising a predominant mood state that is abnormal in quality or duration; examples include: major depressive, manic, mixed, hypomanic
  • types of mood disorders include:
    • depressive (major depressive disorder, dysthymia)
    • bipolar (bipolar I/II disorder, cyclothymia)
    • secondary to GMC, substances, medications


Secondary Causes of Mood Disorders

  • infectious: encephalitis/meningitis, hepatitis, pneumonia, TB, syphilis
  • endocrine: hypothyroidism, hyperthyroidism, hypopituitarism, SIADH
  • metabolic: porphyria, Wilson’s disease, diabetes
  • vitamin disorders: Wernicke’s, beriberi, pellagra, pernicious anemia
  • collagen vascular diseases: SLE, polyarteritis nodosa
  • neoplastic: pancreatic cancer, carcinoid, pheochromocytoma
  • cardiovascular: cardiomyopathy, CHF, MI, CVA
  • neurologic: Huntington’s disease, multiple sclerosis, tuberous sclerosis, degenerative (vascular, Alzheimer’s)
  • drugs: antihypertensives, antiparkinsonian, hormones, steroids, antituberculous, interferon, antineoplastic medications

Medical Workup of Mood Disorder

  • routine screening:
    • physical examination  
    • complete blood count   
    • thyroid function test  
    • electrolytes
    • urinalysis, urine drug screen
  • addtional screening:
    • neurological consultation 
    • chest x-ray
    • electrocardiogram  
    • CT scan
Mood Disorders Mood Disorders Reviewed by Radiology Madeeasy on April 10, 2011 Rating: 5
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