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Acute Manic Episode On Depressed Adult Female Cementing Diagnosis Of Bipolar Disorder

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Acute Manic Episode in Depressed Adult Female Cementing Diagnosis of Bipolar Disorder I in the Presence of an Arachnoid Cyst
Preceptor: Dr. Olga Abduakhadov, MD
Bayonne Medical Center
Psychiatric Rotation
1/5/15 – 1/30/15

Marie Pereira
KCOM OMS III
January 20, 2015 ABSTRACT
Bipolar disorder is a mood disorder that is characterized by episodes of mania, hypomania, or major depression [1]. It affects approximately 5.7 million adult Americans, or about 2.6% of the U.S. population over 18 yearly. The median age of onset for bipolar disorder is 25 years old though individuals can be diagnosed in early childhood or as late as fifty. The incidence of Bipolar disorder is equal between men and women though women undergo cycles of balanced mood, mania, hypomania, and depression three times as frequently as men [2]. This disorder is suspected to have a genetic component as more than 66% of individuals diagnosed have at least one close relative with the illness or with unipolar major depression [3]. There are two subtypes of Bipolar disorder. Patients diagnosed with Bipolar I experience manic episodes and nearly always experience major depressive and hypomanic episodes. Individuals with Bipolar II disorder have at least one hypomanic episode and one major depressive episode in the absence of manic episodes [1].
Bipolar disorder, like any psychiatric disorder, is a diagnosis of exclusion. For a patient to be diagnosed they must first be medically cleared with blood work and any

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