Shaina wrote:
pt may have mania sx but she is having auditor halucinations:hence dx is schizophrenia
schizophrenia is not diagosed before 6 wks of symp, if <6 wks--> its schizophreniform disorder..
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| Shaina
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then it looks like Bipolar dz
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| cirus
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well can't be that either for 3 reasons:
1, the pt is hyper functioning, not depressed.
2 she had depression at the age of 19, i e 10 years ago, dep > 2yrs is not called depression anymore, its Dysthymic disorder
3. Her sympts r there for 3 days & u need atleast 2 wks of sympts for BPdep
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| radonc
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Manic episode is defined as at least 1 wk of elevated mood, characterised by reduced need for sleep, grandiosity ("You are going to be Virgin Mary"), etc. If you are hospitalised, the period of elevated mood is irrelevant - the pt is deemed to have a manic episode. This pt has not slept for 3 days, she needs to come into hospital.
This could be substance-induced mood disorder, except that there is no mention of it in the question stem.
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| elitoki
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Ok, this pte has Bipolar disorder, but Is he in manic episode or hypomaniac? What kind of bipolar disorder is it? 
answer:
Hypomania is usually less than 1 wk (at least 4days) , and mania is more than 1 wk and it is more severe form.
Bipolar I = mania+ despression
Bipolar II= hypomania+ depression.
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| Justice
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A. bipolar
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