Definitions mood disorders are defined by the presence of mood episodes mood episodes represent a combination of symptoms comprisin...
- 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
