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هدية قال عليه الصلاة و السلام : (إن عبدا أذنب ذنبا فقال رب أذنبت فاغفره فقال ربه أعلم عبدي أن له ربا يغفر الذنب ويأخذ به ؟ غفرت لعبدي ثم مكث ما شاء الله ثم أذنب ذنبا فقال رب أذنبت ذنبا فاغفره فقال ربه أعلم عبدي أن له ربا يغفر الذنب ويأخذ به ؟ غفرت لعبدي ثم مكث ما شاء الله ثم أذنب ذنبا قال رب أذنبت ذنبا آخر فاغفر لي فقال أعلم عبدي أن له ربا يغفر الذنب ويأخذ به ؟ غفرت لعبدي فليفعل ما شاء ). ( متفق عليه ) الفعاليات القادمة
استطلاع الرأي إلى أي مدى تعتبر أنّ الدراسة النظريّة للطبّ في كليتنا ستخدمك سريرياً في المستقبل؟ أعتبر أنّ الفائدة معدومة في ظل النظام التدريسيّ الحالي. 28% الفائدة كبيرة جداً، وهي أساس التميز العملي. 6% الأمر نسبي، يختلف من طالب لآخر، ومن مادة لأخرى. 67% عدد الأصوات: 239 أهلاً بك ! تفضل الإبحار |
 
Talkative wife.. What's a life
DAM - الاثنين, 2007-08-13 09:59 |
الوصف الكامل Background: A 32-year-old woman is brought in to clinic by her husband of four years because she has been "restless and hyperactive" for the past two weeks. The husband describes her as unusually talkative, and says she speaks so quickly that others have difficulty understanding her. She has spent large sums of money on new clothing, makeup, and perfumes. When asked about her purchases, she says that she needs to look elegant since she is "a member of the royal family." She stays up very late each night to thoroughly clean the house, often sleeping only an hour or two. The husband has never observed these symptoms before in his wife. Physical examination of her is unremarkable. Which of the following is this woman most likely suffering from?
A. Manic episode الشكوى الرئيسية CC: القصة المرضية HPI: الأجهزة الأخرى ROS: السوابق المرضية الشخصية PMH: السوابق المرضية العائلية FMH: الوضع الصحي والاجتماعي SH: الفحص السريري Clinical Exam: التشخيص التفريقي DD: الاستقصاءات Investigations: التدبير Managment: كتابة حرة وطرح موضوع النقاش!: |
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A
extremely talkative and active,grandosity,shopping spree,decreased sleeping,2 week duration
what else do you need to daignose mania,and bipolar disorder
?
for mania i guess the case is enough..
bipoler, there should be at least an episode of dipression
Mohannad I am sorry but I cant help it....I have to insult you
listen man you have a big K-Jam in your pocket u could have checked the definition of bipolar disorder
A SINGLE MANIC EPISODE IS ENOUGH TO DIAGNOSE BIPOLAR DISORDER
because depression will eventually happen
check DSM-IV criteria
don't think that correcting people is an insult, at least for me, so don't worry.
i hope things doesn't go this way "read a question, check the PDA and post an answer, then how am i gonna know if i'm thinking strieght or not!"
I think checking is wrong before i offer an answer, that's why i always answer and then look into books. it's better to learn through mistakes, of course i don't do that when dealing with real life patients i check the books "not one book, i check all of the manuals i have before makeing a simple dicision", and if i have 1% doubt, i will call the my supperior..
thanks for the info
Flux is the fundamental nature of bipolar disorder.[citation needed] Both within and between individuals with the illness, energy, mood, thought, sleep, and activity are among the continually changing biological markers of the disorder. The diagnostic subtypes of bipolar disorder are thus static descriptions—snapshots, perhaps—of an illness in continual change, with a great diversity of symptoms and varying degrees of severity. Individuals may stay in one subtype, or change into another, over the course of their illness. The DSM V, to be published in 2011 , will likely include further and more accurate sub-typing (Akiskal and Ghaemi, 2006).
There are currently four types of bipolar illness. The Diagnostic and Statistical Manual of Mental Disorders-IV-TR (DSM-IV-TR) details four categories of bipolar disorder, Bipolar I, Bipolar II, Cyclothymia, and Bipolar Disorder NOS (Not Otherwise Specified).
For a diagnosis of Bipolar I disorder according to the DSM-IV-TR, there requires one or more manic or mixed episodes. A depressive episode is not required for the diagnosis of Bipolar I disorder but it frequently occurs.
Bipolar II, which occurs more frequently is usually characterized by at least one episode of hypomania and at least one depression.
A diagnosis of Cyclothymic Disorder requires the presence of numerous hypomanic episodes, intermingled with depressive episodes that do not meet full criteria for major depressive episodes. The main idea here is that there is a low-grade cycling of mood which appears to the observer as a personality trait, but interferes with functioning.
If an individual clearly seems to be suffering from some type of bipolar disorder but does not meet the criteria for one of the subtypes above, he or she receives a diagnosis of Bipolar Disorder NOS (Not Otherwise Specified).
Although a patient will most likely be depressed when they first seek help, it is very important to find out from the patient or the patient's family or friends if a manic or hypomanic episode has ever been present, using careful questioning. This will prevent misdiagnosis of Depressive Disorder and avoids the use of an antidepressant which may trigger a "switch" to hypomania or mania or induce rapid cycling. Recent screening tools such as the Hypomanic Check List Questionnaire (HCL-32) have been developed to assist the quite often difficult detection of Bipolar II disorders.
Dysthymic disorder: is a mild chronic form of a major depression