在低血量迅速纠正后出现躁狂发作的髓溶解病例:两个病例
Muhammed Emin Boylu1, İsmet Kırpınar1
1Faculty of Medicine, Psychiatry Department, Bezmialem Vakıf University, Istanbul, Turkey.
Bipolar disorders
|January 18, 2024
概括
精神病医生必须考虑神经系统疾病 - - 骨髓溶解 (myelinolysis),在诊断第一个情节的躁狂时. 低血的快速纠正可以触发这种情况,呈现出精神症状.
科学领域:
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 骨髓溶解是一种神经疾病,具有各种精神表现.
- 电解质失衡,酒和营养不良是常见的病因.
- 低血症的快速纠正可能会沉庞丁和额外庞丁髓解.
研究的目的:
- 为了突出骨髓溶解的精神病学表现.
- 强调在精神病诊断中考虑有机原因的重要性.
主要方法:
- 对两名患有低血症的患者的案例研究分析.
- 通过使用抗高血压药物和快速纠正低血引起的髓溶解的调查.
- 通过神经学推进行诊断确认.
主要成果:
- 在这两种情况下,髓溶解表现为躁狂发作.
- 患者最初寻求精神治疗,延迟了有机原因诊断.
- 进行彻底的医疗检查至关重要,以区别于初级精神疾病.
结论:
- 精神病医生必须小心翼翼地排除在第一次躁狂发作中的有机病因.
- 在患有不明原因躁狂症的患者的差异诊断中,应考虑骨髓溶解.
- 早期的神经学评估对于准确的诊断和管理至关重要.
相关概念视频
Mania and Antimanic Drugs: Overview
184
Mania, a psychological condition characterized by elevated mood, increased energy, and reduced sleep need, is part of the bipolar disorder cycle. The exact cause of mania isn't entirely known, but it is thought to be a combination of genetic, environmental, and neurological factors. Bipolar disorder involves alternating manic and depressive episodes. Mood stabilizers like lithium, antipsychotics, and anticonvulsants help manage these episodes. Lithium carbonate is particularly effective as...
184
Bipolar Disorder
67
Bipolar disorder is a chronic mental health condition marked by significant mood fluctuations, including episodes of mania and depression. Elevated energy levels, heightened mood or irritability, impulsive behavior, reduced sleep needs, rapid speech, racing thoughts, inflated self-esteem, and distractibility characterize mania. Individuals with bipolar disorder often alternate between depressive and manic states, with periods of emotional stability lasting an average of six months to a year.
67
Depolarizing Blockers: Mechanism of Action
1.6K
Depolarizing blockers act on skeletal muscle fibers' membranes and induce their depolarization. Most depolarizing blockers have two quaternary N+ atoms that bind the nicotinic acetylcholine receptors and cause neuromuscular blockade within minutes.
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
Succinylcholine is the most commonly used depolarizing blocker. Chemically, it constitutes two molecules of acetylcholine joined together by an acetate methyl group. They act on the receptors in the same way as acetylcholine. Because...
1.6K
Electroconvulsive Therapy
41
Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
41
Disorder of Water Balance
403
Water balance disorders are medical conditions that occur when there is a deviation from the body's water volume or osmolarity, disrupting normal homeostasis and leading todehydration, hypotonic hydration, hyperhydration, edema, or water intoxication.
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
Dehydration
Dehydration occurs when the body loses fluids (particularly water).
Causes:
The major causes of dehydration include excessive sweating, fever, vomiting, diarrhea, and diuresis.
Signs and Symptoms:
Symptoms primarily include intense...
403
Antihypertensive Drugs: Potassium-Sparing Diuretics
563
Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
563


