Mania

Question 1

ICD10 symptoms of mania? (11)

Answer 1

DIG FAST:
D - distractibility 
I - indiscretion (lack of judgement e.g. overspending) 
G - grandiosity (increased self esteem)
F - flight of ideas
A - activity increase
S - sleep deficit 
T - talkativeness 
Elated, irritable (80%)
Hyperactive
Delusions (48%)
Hallucinations (15%)

Question 2

Mania is the opposite of which affective disorder?

Answer 2

Depression

Question 3

How much % of patients with depression have mania, and what disorder can this lead to?

Answer 3

10%

Bipolar

Question 4

How long do the symptoms have to last for in mania to clinically diagnose?

Answer 4

1 week

Question 5

What is hypomania? Are psychotic feature present?

Answer 5

Persistent mild elevated mood, for a few days

No

Question 6

Acute Management of mania? (2)

Answer 6

Antipsychotic (Olanzapine) PO
Valproate PO (mood stabilsier)

Question 7

Prophylaxis?

Answer 7

Lithium

Question 8

Organic causes of Mania? (4)

Answer 8

neurological - CVA, epilepsy, brain tumour, MS
endocrine - hyperthyroidism
medication - steroids, A/D
substance misuse - cannabis, cocaine, amphetamines