Bipolar disorder - Revision history

Danbot: Strip excess bold

2026-03-22T09:37:12Z

Strip excess bold

← Older revision		Revision as of 09:37, 22 March 2026
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	===[[depression\|Major Depressive Episode]]===		===[[depression\|Major Depressive Episode]]===
	*~~'''~~<big>S</big>~~'''~~leep - increased or [[insomnia\|decreased]]		*<big>S</big>leep - increased or [[insomnia\|decreased]]

	*~~'''~~<big>I</big>~~'''~~nterest - losing interest or pleasure in activities		*<big>I</big>nterest - losing interest or pleasure in activities

	*~~'''~~<big>G</big>~~'''~~uilt - excessive guilt		*<big>G</big>uilt - excessive guilt

	*~~'''~~<big>E</big>~~'''~~nergy - feels of [[fatigue]], low energy		*<big>E</big>nergy - feels of [[fatigue]], low energy

	*~~'''~~<big>C</big>~~'''~~oncentration - cognitive decline, indecisiveness		*<big>C</big>oncentration - cognitive decline, indecisiveness

	*~~'''~~<big>A</big>~~'''~~ppetite - weight loss/gain		*<big>A</big>ppetite - weight loss/gain

	*~~'''~~<big>P</big>~~'''~~sychomotor agitation or depression		*<big>P</big>sychomotor agitation or depression

	*[[suicide\|~~'''~~<big>S</big>~~'''~~uicidal ideation]]		*[[suicide\|<big>S</big>uicidal ideation]]

	''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest''<ref name="DSM5"/>		''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest''<ref name="DSM5"/>

Danbot: Remove incorrect AntibioticDose entries (Quinine was wrong drug from corrupted page data - should have been Risperidone)

2026-03-20T12:14:00Z

Remove incorrect AntibioticDose entries (Quinine was wrong drug from corrupted page data - should have been Risperidone)

← Older revision		Revision as of 12:14, 20 March 2026
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	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}


	~~===Antibiotic Dosing===~~
	~~====Adult====~~
	*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
	~~====Pediatric====~~
	*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}


	~~===Antibiotic Dosing===~~
	~~====Adult====~~
	*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
	~~====Pediatric====~~
	*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}


	~~===Antibiotic Dosing===~~
	~~====Adult====~~
	*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
	~~====Pediatric====~~
	*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}

	==Disposition==		==Disposition==

Danbot: Add Quinine AntibioticDose entries

2026-03-20T10:57:49Z

Add Quinine AntibioticDose entries

← Older revision		Revision as of 10:57, 20 March 2026
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	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}


			===Antibiotic Dosing===
			====Adult====
			*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
			====Pediatric====
			*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}

Danbot: Add AntibioticDose entries: Quinine

2026-03-20T10:57:32Z

Add AntibioticDose entries: Quinine

← Older revision		Revision as of 10:57, 20 March 2026
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	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}


			===Antibiotic Dosing===
			====Adult====
			*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
			====Pediatric====
			*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}

Danbot: Add AntibioticDose entries: Quinine; strip translate tags

2026-03-20T10:57:13Z

Add AntibioticDose entries: Quinine; strip translate tags

← Older revision		Revision as of 10:57, 20 March 2026
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	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}


			===Antibiotic Dosing===
			====Adult====
			*{{AntibioticDose\|drug=Quinine\|dose=1-6 mg/day PO divided qd/bid; Max: 6 mg/day\|context=Bipolar disorder, Type 1, Acute manic\|disease=Bipolar disorder\|population=Adult}}
			====Pediatric====
			*{{AntibioticDose\|drug=Quinine\|dose=0.5-6mg/day PO divided qd/bid\|context=Bipolar disorder, Type 1, Acute mania\|disease=Bipolar disorder\|population=Pediatric}}

	==Disposition==		==Disposition==

ClaireLewis at 15:04, 11 October 2019

2019-10-11T15:04:23Z

← Older revision		Revision as of 15:04, 11 October 2019
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	*Mental disorder characterized by periods of elevated moods and periods of depression		*Mental disorder characterized by periods of elevated moods and periods of depression
	*Spectrum of disorders including Bipolar Type I, Bipolar Type II, and Bipolar NOS		*Spectrum of disorders including Bipolar Type I, Bipolar Type II, and Bipolar NOS
			*Be wary of diagnostic overshadowing (e.g. erroneously attributing symptoms to psychiatric disorder when etiology is in fact organic)
			**Patients with serious mental illness have significantly higher rates of stroke<ref>Leucht S, Burkand T, Henderson J, Maj M, Sartorius N (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116: 317– 333</ref>, CAD<ref>Leucht S, Burkand T, Henderson J, Maj M, Sartorius N (2007) Physical illness and schizophrenia: a review of the literature. Acta Psychiatr Scand 116: 317– 333. </ref>, DM<ref>Mai Q, D’Arcy C, Holman J, Sanfilippo FM, Emery JD, et al. (2011) Mental illness related disparities in diabetes prevalence, quality of care and outcomes: a population-based longitudinal study. BMC Med 9: 118.
			</ref>, cancer<ref>https://www.cdc.gov/mentalhealth/data_stats/mental-illness.htm</ref>, HIV, HCV<ref>Disability Rights Commission (2006) Equal Treatment: Closing the Gap. A Formal Investigation into Physical Health Inequalities Experienced by People with Learning Disabilities and/or Mental Health Problems. Disability Rights Commission. London.</ref>
			**All cause mortality rate is 30-200% higher for patients with bipolar disorder than general population<ref>https://www.who.int/mental_health/management/info_sheet.pdf</ref>

	==Clinical Features==		==Clinical Features==
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	*Rule out alternative medical explanation for symptoms, as appropriate		*Rule out alternative medical explanation for symptoms, as appropriate
	{{General ED Psychiatric Workup}}		{{General ED Psychiatric Workup}}


	===Bipolar I===		===Bipolar I===

ClaireLewis at 16:23, 10 October 2019

2019-10-10T16:23:37Z

← Older revision		Revision as of 16:23, 10 October 2019
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	*Symptoms only need to persist for 4 days		*Symptoms only need to persist for 4 days

	===Major Depressive Episode===		===[[depression\|Major Depressive Episode]]===
	*'''<big>S</big>'''leep - increased or decreased		*'''<big>S</big>'''leep - increased or [[insomnia\|decreased]]

	*'''<big>I</big>'''nterest - losing interest or pleasure in activities		*'''<big>I</big>'''nterest - losing interest or pleasure in activities
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	*'''<big>G</big>'''uilt - excessive guilt		*'''<big>G</big>'''uilt - excessive guilt

	*'''<big>E</big>'''nergy - feels of fatigue, low energy		*'''<big>E</big>'''nergy - feels of [[fatigue]], low energy

	*'''<big>C</big>'''oncentration - cognitive ~~decine~~, indecisiveness		*'''<big>C</big>'''oncentration - cognitive decline, indecisiveness

	*'''<big>A</big>'''ppetite - weight loss/gain		*'''<big>A</big>'''ppetite - weight loss/gain
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	*'''<big>P</big>'''sychomotor agitation or depression		*'''<big>P</big>'''sychomotor agitation or depression

	*'''<big>S</big>'''uicidal ideation		*[[suicide\|'''<big>S</big>'''uicidal ideation]]

	''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest''<ref name="DSM5"/>		''Must have 5 symptoms in a 2 week period including depressed mood and loss of interest''<ref name="DSM5"/>
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	*Usually will not be diagnosed in the emergency department		*Usually will not be diagnosed in the emergency department
	*Needs evaluation by a psychiatrist		*Needs evaluation by a psychiatrist
			*Rule out alternative medical explanation for symptoms, as appropriate
			{{General ED Psychiatric Workup}}


	===Bipolar I===		===Bipolar I===
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	*Meets criteria for at least one hypomanic episode		*Meets criteria for at least one hypomanic episode
	*Does not meet criteria for manic or mixed episode		*Does not meet criteria for manic or mixed episode
	*Symptoms cause social/occupational distress or ~~imairment~~		*Symptoms cause social/occupational distress or impairment

	===Bipolar NOS===		===Bipolar NOS===
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	==Management==		==Management==
	*~~Medically clear~~		*After medical evaluation/"clearance":
	*Place patient on legal hold if meets local criteria		**Place patient on legal hold if meets local criteria
	*Arrange psychiatry evaluation (inpatient vs outpatient depending on clinical severity)		**Arrange psychiatry evaluation (inpatient vs outpatient depending on clinical severity)

	{{General ED Psychiatric Management}}		{{General ED Psychiatric Management}}

Humanguy: Added General ED Psychiatric Management template

2016-11-10T22:36:24Z

Added General ED Psychiatric Management template

← Older revision		Revision as of 22:36, 10 November 2016
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	*Place patient on legal hold if meets local criteria		*Place patient on legal hold if meets local criteria
	*Arrange psychiatry evaluation (inpatient vs outpatient depending on clinical severity)		*Arrange psychiatry evaluation (inpatient vs outpatient depending on clinical severity)

			{{General ED Psychiatric Management}}

	==Disposition==		==Disposition==

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-23T12:52:38Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 12:52, 23 July 2016
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	{{Psych DDX}}		{{Psych DDX}}

	==~~Diagnosis~~==		==Evaluation==
	*Usually will not be diagnosed in the emergency department		*Usually will not be diagnosed in the emergency department
	*Needs evaluation by a psychiatrist		*Needs evaluation by a psychiatrist

Neil.m.young: Text replacement - "don't" to "do not"

2016-07-11T19:27:32Z

Text replacement - "don't" to "do not"

← Older revision		Revision as of 19:27, 11 July 2016
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	===Bipolar NOS===		===Bipolar NOS===
	*Disorder with bipolar features that ~~don't~~ meet criteria for specific bipolar disorder		*Disorder with bipolar features that do not meet criteria for specific bipolar disorder

	==Management==		==Management==