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Mania Secondary Causes

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1. Mania Secondary Causes

Mania Secondary Causes Mania Secondary Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mania Secondary Causes Mania Secondary (...) Causes Aka: Mania Secondary Causes From Related Chapters II. General Consider secondary causes if outside typical ages Onset in pre-pubertal children Onset after age 40 years III. Causes: Drugs of Abuse abuse abuse IV. Causes: Collagen vascular disease V. Causes: Infectious disease Herpes St. Louis (HIV) or ( ) VI. Causes: Endocrine disease VII. Causes: Neurologic disease s s Neoplasms (esp. diencephalic or ) VIII. Causes: Vitamin Deficiency IX. Causes: Medications Neuropsychiatric s Heterocyclic s

2018 FP Notebook

2. Mania Secondary Causes

Mania Secondary Causes Mania Secondary Causes Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Mania Secondary Causes Mania Secondary (...) Causes Aka: Mania Secondary Causes From Related Chapters II. General Consider secondary causes if outside typical ages Onset in pre-pubertal children Onset after age 40 years III. Causes: Drugs of Abuse abuse abuse IV. Causes: Collagen vascular disease V. Causes: Infectious disease Herpes St. Louis (HIV) or ( ) VI. Causes: Endocrine disease VII. Causes: Neurologic disease s s Neoplasms (esp. diencephalic or ) VIII. Causes: Vitamin Deficiency IX. Causes: Medications Neuropsychiatric s Heterocyclic s

2015 FP Notebook

3. Relationship between photoperiod and hospital admissions for mania in New South Wales, Australia. (PubMed)

Relationship between photoperiod and hospital admissions for mania in New South Wales, Australia. Causes for a seasonal impact on admissions for mania remain to be clarified. We examined the impact of photoperiod, rate of change of photoperiod and hours of sunshine on admissions over an extended period.Monthly admission data to NSW psychiatric hospitals for more than twenty thousand patients admitted for mania over a fifteen-year period were correlated with photoperiod and sunshine (...) for a distinctive 20% of the variance in hospital admissions.Validity of mania diagnoses cannot be established from the data set, admission data were obtained from across the state while meteorological data were obtained from the capital city, lag periods between onset of a mania and hospitalization (while identified) would impact on associations, social factors were not included and study associations do not imply causality.The lack of a strong year-long correlation may reflect photoperiod changes being only

2017 Journal of Affective Disorders

4. Antibiotics and mania: A systematic review. (PubMed)

Antibiotics and mania: A systematic review. Mania can occur secondary to a medical condition and can be elicited by various pharmacological treatments, both in patients with or without a history of affective disorder. Antibiotic-induced mania or antibiomania is suggested to be a rare phenomenon. We reviewed the literature in order to collect published reports of antibiomania and to summarize new insights about its mechanism and management.We performed a MEDLINE-search and used manual cross (...) -referencing for reports of antibiotic-induced mania and included cases in which a (hypo)manic episode was diagnosed in close temporal relationship with the prescription of an antibiotic.47 cases were published. Patients' ages ranged from 3 to 77 years (mean 40). Two-thirds of the cases were male. Twelve different anti-bacterial agents were implicated, with antitubercular agents, macrolides and quinolones being the most common causative groups.Antibiotic treatment can be associated with (hypo)mania

2017 Journal of Affective Disorders

5. Athanasios Koukopoulos’ Psychiatry: The Primacy of Mania and the Limits of Antidepressants (PubMed)

Athanasios Koukopoulos’ Psychiatry: The Primacy of Mania and the Limits of Antidepressants Athanasios Koukopoulos provided a radical model for understanding depressive and manic conditions.To review, explain, and analyze Koukopoulos' concept of the primacy of mania, with special attention to the role of antidepressants.A conceptual review of Koukopoulos' writings and lectures on this topic is given.Koukopoulos held that depressive states are caused by manic states; the former do not occur (...) in this model. We provide evidence that supports this view in most persons with depressive states.Koukopoulos' model of affective illness is one where manic states are the primary pathology, and depressive conditions are a secondary consequence. Hence treatment of depression with antidepressants would be less effective than treatment with mood stabilizers, since treating an effect is less successful than treating its cause. This approach would reverse current assumptions in psychiatry.

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2017 Current neuropharmacology

6. Assessment of the efficacy and safety of eslicarbazepine acetate in acute mania and prevention of recurrence: experience from multicentre, double-blind, randomised phase II clinical studies in patients with bipolar disorder I. (PubMed)

-BP score changes for mania and overall bipolar illness indicate a significant improvement in patient symptomatology for the ESL 800-2400mg group (from preceding and worst phase) and for ESL 600-1800mg group (from worst phase only) when compared to placebo. Study BIA-2093-204 (n=38) results were inconclusive due to premature termination caused by recruitment difficulties. In study BIA-2093-205 (n=85, ITT), at least 50% of patients showed no worsening in all treatment groups (p=0.250). ESL adverse (...) Assessment of the efficacy and safety of eslicarbazepine acetate in acute mania and prevention of recurrence: experience from multicentre, double-blind, randomised phase II clinical studies in patients with bipolar disorder I. Eslicarbazepine acetate (ESL) is an anticonvulsant approved as an adjunctive therapy in adults with partial-onset seizures.To evaluate the efficacy, safety and tolerability of ESL in the treatment of acute mania and prevention of recurrence in bipolar disorder I.Two 3

2015 Journal of Affective Disorders Controlled trial quality: predicted high

7. Assessment of the efficacy and safety of eslicarbazepine acetate in acute mania and prevention of recurrence: Experience from multicentre, double-blind, randomised phase II clinical studies in patients with bipolar disorder I. (PubMed)

-BP score changes for mania and overall bipolar illness indicate a significant improvement in patient symptomatology for the ESL 800-2400mg group (from preceding and worst phase) and for ESL 600-1800mg group (from worst phase only) when compared to placebo. Study BIA-2093-204 (n=38) results were inconclusive due to premature termination caused by recruitment difficulties. In study BIA-2093-205 (n=85, ITT), at least 50% of patients showed no worsening in all treatment groups (p=0.250). ESL adverse (...) Assessment of the efficacy and safety of eslicarbazepine acetate in acute mania and prevention of recurrence: Experience from multicentre, double-blind, randomised phase II clinical studies in patients with bipolar disorder I. Eslicarbazepine acetate (ESL) is an anticonvulsant approved as an adjunctive therapy in adults with partial-onset seizures.To evaluate the efficacy, safety and tolerability of ESL in the treatment of acute mania and prevention of recurrence in bipolar disorder I.Two 3

2015 Journal of Affective Disorders Controlled trial quality: predicted high

8. Mood Stabilizers and Antipsychotics for Acute Mania: A Systematic Review and Meta-Analysis of Combination/Augmentation Therapy Versus Monotherapy. (PubMed)

monotherapy in 14 trials (n = 3,651) and with AP monotherapy in 6 trials (n = 606) [one study compared combination therapy versus both MS monotherapy and AP monotherapy].The primary outcomes were the mean change scores on validated rating scales for mania and all-cause discontinuation at 3 weeks. The secondary outcomes included response, remission, the mean change scores for depression, dropouts due to adverse events and to inefficacy, and adverse events at 3 weeks and mean change scores on validated (...) Mood Stabilizers and Antipsychotics for Acute Mania: A Systematic Review and Meta-Analysis of Combination/Augmentation Therapy Versus Monotherapy. Pharmacotherapy remains the mainstay of treatment for acute bipolar mania, but there are many choices, including mood stabilizers (MSs) and antipsychotics (APs).To provide an up-to-date and comprehensive review of the efficacy, acceptability and adverse effects of MSs and APs as combination or augmentation therapy versus monotherapy with either drug

2014 CNS drugs

9. Comparative Efficacy and Acceptability of Antimanic Drugs in Acute Mania

17, 2015 Sponsor: Guiyun Xu Collaborator: The University of Hong Kong Information provided by (Responsible Party): Guiyun Xu, Guangzhou Psychiatric Hospital Study Details Study Description Go to Brief Summary: Background: Bipolar disorder is one of the most common mental illnesses affecting 1%-4% of the population, and one of the leading causes of worldwide disability. Mania is a condition of excessively elevated mood, characterizes bipolar disorder, and usually is a main cause of hospitalization (...) week). If the first attempted antimanic drug fails, psychiatrist need the evidence that which medication should be to added on or switch to. Objectives: one main aim is to rank the short-term ( e.g.one and two week) effectiveness and acceptability of the common anti-mania drugs, including Lithium, Valproate, Oxcarbazepine, Quetiapine, Olanzapine, or Ziprasidone. Secondary aim is to investigate which medication to add on for non-responders or switch to. Methods: The study setting: it is expected

2013 Clinical Trials

10. Mania

symptoms ( ). Treatment [ ] Before beginning treatment for mania, careful must be performed to rule out secondary causes. The acute treatment of a manic episode of involves the utilization of either a (valproate, lithium, lamotrigine, or carbamazepine) or an (olanzapine, quetiapine, risperidone, or aripiprazole). Although episodes may respond to a mood stabilizer alone, full-blown episodes are treated with an (often in conjunction with a mood stabilizer, as these tend to produce the most rapid (...) is a syndrome with multiple causes. Although the vast majority of cases occur in the context of , it is a key component of other psychiatric disorders (such as , bipolar type) and may also occur secondary to various general medical conditions, such as ; certain medications may perpetuate a manic state, for example ; or substances of abuse, such as , or anabolic steroids. [ ] In the current , hypomanic episodes are separated from the more severe full manic episodes, which, in turn, are characterized

2012 Wikipedia

11. Attention deficit hyperactivity disorder: diagnosis and management

for transition between child and adult services produce local protocols for shared care arrangements with primary care providers, and ensure that clear lines of communication between primary and secondary care are maintained ensure age-appropriate psychological services are available for children, young people and adults with ADHD, and for parents or carers. Attention deficit hyperactivity disorder: diagnosis and management (NG87) © NICE 2019. All rights reserved. Subject to Notice of rights (https (...) for assessment for ADHD they may be more likely to have undiagnosed ADHD they may be more likely to receive an incorrect diagnosis of another mental health or neurodevelopmental condition. [2018] [2018] T o find out why the committee made the 2018 recommendations on recognition and how they might affect practice, see rationale and impact. Identification and referr Identification and referral al 1.2.3 Universal screening for ADHD should not be undertaken in nursery, primary and secondary schools. [2008] [2008

2018 National Institute for Health and Clinical Excellence - Clinical Guidelines

12. Valproate Use In Women and Girls Of Childbearing Years

for healthcare professionals to know – but it is also important for them to know how to implement this change and work differently. I am very pleased that the Medical Royal Colleges have come together to produce this important and helpful guidance, so that doctors and other healthcare professionals across primary and secondary care are on the same page regarding the use of sodium valproate - including around instances where its use is still appropriate. I hope this new guidance will provide clarity (...) . It is important to recognise that these discussions in themselves are difficult and can cause psychological distress for any party involved. 5.8.2 With mental capacity Girls and women with mild ID and mental capacity should be involved in the discussion wherever possible. Careful evaluation will be required in this setting: the PPP and ARAF will be necessary if there is judged to be childbearing potential. Capacity needs to be considered in each individual situation e.g. consent to have sex is not the same

2019 Royal College of Obstetricians and Gynaecologists

13. Addressing unwarranted variation in healthcare

Addressing unwarranted variation in healthcare Addressing unwarranted variation in healthcare An Evidence Check rapid review brokered by the Sax Institute for Cancer Institute NSW. March 2019 An Evidence Check rapid review brokered by the Sax Institute for Cancer Institute NSW. March 2019. This report was prepared by: Reema Harrison, Elizabeth Manias, Steven Mears, Reece Hinchcliff, David Heslop. UNSW Sydney, March 2019 © Sax Institute 2019 This work is copyright. It may be reproduced in whole (...) or in part for study training purposes subject to the inclusions of an acknowledgement of the source. It may not be reproduced for commercial usage or sale. Reproduction for purposes other than those indicated above requires written permission from the copyright owners. Enquiries regarding this report may be directed to the: Principal Analyst Knowledge Exchange Program Sax Institute www.saxinstitute.org.au knowledge.exchange@saxinstitute.org.au Phone: +61 2 91889500 Suggested Citation: Harrison R, Manias

2019 Sax Institute Evidence Check

14. Diagnosis and management of gonorrhoea and syphilis

and epidemiological trends 1.1.1.1 Gonorrhoea Gonorrhoea is caused by the Gram-negative bacterium Neisseria gonorrhoeae (N. gonorrhoea) with infection of the columnar epithelium of the urethra, endocervix, rectum, pharynx and conjunctivae. 2 Symptoms and physical signs of gonorrhoea constitute of a localised in?ammation of the infected mucosal surfaces. In men, the presentation is mostly of acute urethritis with symptoms of mucopurulent urethral discharge (80%) and dysuria (50%), usually starting within 2–8 days (...) of exposure. Asymptomatic urethral infection is uncommon in men (less than 10% of urethral infections). 2 In women, genital tract symptoms include increased or altered vaginal discharge (50%), lower abdominal pain (25%), dysuria (10–15%) and rarely intermenstrual bleeding or menorrhagia. Endocervical infection is asymptomatic in half of the cases. Rectal and pharyngeal infections are usually asymptomatic. 2 Complications can occur when the infection causes severe local symptoms of cervicitis, urethritis

2019 Belgian Health Care Knowledge Centre

15. Lithium

are conflicting and limited. Methods We conducted a cohort study involving 1,325,563 pregnancies in women who were enrolled in Medicaid and who delivered a live-born (...) infant between 2000 and 2010. We examined the risk of cardiac malformations among infants exposed to lithium during the first trimester as compared with unexposed infants and, in secondary analyses, with infants exposed to another commonly used mood stabilizer, lamotrigine. Risk ratios and 95% confidence intervals were estimated (...) the prevention of severe affective episodes and suicide. METHODS: Retrospective cohort study in the Swedish region of Norrbotten into the causes of lithium discontinuation (...) . The study was set up to (1) test whether patients with bipolar affective disorder or schizoaffective disorder, treated with lithium maintenance therapy, were more likely to discontinue lithium because of adverse effects than lack of therapeutic effectiveness, (2) explore gender differences, (3) understand the role of diagnosis

2018 Trip Latest and Greatest

16. Pharmacologic and Nonpharmacologic Treatments for Posttraumatic Stress Disorder

elements to be abstracted. We dually reviewed citations from the literature search, and then the full text of potentially includable articles for eligibility, resolving any disagreements using consensus. One team member abstracted data from included RCTs into evidence tables, and a second reviewer checked abstracted data for accuracy and completeness. The primary publication for each RCT was abstracted; data and citations from any secondary publications (i.e., companion papers) appear in the same (...) al. Effects of exogenous glucocorticoid on combat-related PTSD symptoms. Ann Clin Psychiatry. 2010 Nov;22(4):274-9. PMID: 21180658. 40. Tucker P, Potter-Kimball R, Wyatt DB, et al. Can physiologic assessment and side effects tease out differences in PTSD trials? A double-blind comparison of citalopram, sertraline, and placebo. Psychopharmacol Bull. 2003 Summer;37(3):135-49. PMID: 14608246. 41. Wang Y, Hu YP, Wang WC, et al. Clinical studies on treatment of earthquake-caused posttraumatic stress

2019 Effective Health Care Program (AHRQ)

17. Understanding the Health Effects of Recreational Cannabis Use: A Focused Practice Question

These increases followed changes to cannabis policy, including the legalization of recreational cannabis. 4 Symptoms of overdose injuries include lethargy, ataxia, dizziness, respiratory insufficiency and agitation. 4 More serious, but less common symptoms, include coma, cardiovascular symptoms and respiratory depression. 4 There is insufficient evidence on whether cannabis use is associated with deaths due to cannabis overdose. 4 There is uncertainty on the association between cannabis use and all-cause (...) mortality. There is insufficient evidence on whether self-reported cannabis use is associated with all-cause mortality. 4 There is uncertainty on the association between cannabis use and occupational accidents or injuries. There is insufficient evidence on whether general, non-medical cannabis use is associated with occupational accidents or injuries. 4 Maternal and Child Outcomes 18 There is uncertainty on the association between cannabis use during pregnancy and maternal anemia. Some evidence suggests

2019 Peel Health Library

18. Preventing Violence, Harassment and Bullying Against Health Workers

(see definition for “health worker”). Vertical violence: Violence, harassment or bullying that occurs between colleagues who are at unequal levels within an organization (9). Violence: The use, or attempted use, of physical force against a person that causes, or could cause, physical injury. Sexual aggression, verbal statements, non-verbal behaviours, or acts that are reasonably interpreted as a threat of physical force that can lead to physical harm are also considered violence (24). In health (...) that violence from a person receiving care, their family or a visitor can be the result of behavioural and psychological symptoms of an illness (e.g., dementia or delirium) that are exhibited to express met or unmet needs. Labeling a person with a behavioural or psychological illness as “violent” can result in altered levels of care and stigmatization; for that reason, it is critical to understand the cause of violence in order to prevent and mitigate its occurrence. Topics Outside the Scope of this Best

2019 Registered Nurses' Association of Ontario

19. Guidance on the clinical management of anxiety disorders, specifically focusing on diagnosis and treatment strategies

with anxiety disorders have fears and wor- ries about ‘what might happen if ...’, and those fears and worries persist on and off for months and years, causing distress and disability. It is the months or years of distress and disability that drive people to treatment. The continuing fears and worries, which most patients recognise as somewhat irrational but nevertheless dread, are the basis for making a diagnosis of an anxiety disorder (Figure 1) and prescribing treatment. Each of the anxiety disorders (...) these guidelines, we considered two important concepts. First, that all disorders exist on a dimension from subthreshold to severe cases. While guidelines apply to above-threshold cases, they are applicable to people with subthreshold cases who are at risk of developing a First published in the Australian and New Zealand Journal of Psychiatry 2018, Vol. 52(12) 1109-1172.1116 ANZJP Articles threshold disorder (Helzer et al., 2009). Second, that there are clusters of mental disorders that share causes and rem

2018 Royal Australian and New Zealand College of Psychiatrists

20. Antipsychotics for the Prevention and Treatment of Delirium

extrapyramidal symptoms outcomes in trials with an intensive care unit population comparing haloperidol with placebo 136 Appendixes Appendix A. Detailed Search Strategy Appendix B. Screening and Data Abstraction Forms Appendix C. Included and Excluded Articles Appendix D. Evidence Tables ES-1 Evidence Summary Introduction Background Delirium is a syndrome characterized by an abrupt impairment in cognition, with a specific deficit in attention, that is associated with an underlying medical cause or causes. 1

2019 Effective Health Care Program (AHRQ)

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