obsolete single episode manic disease moderate degree

Based on the provided context, it appears that you are looking for information about a condition characterized by a single episode of mania, which is now considered obsolete or not a standalone diagnosis.

According to search result [8], if you have been diagnosed with the less severe condition of hypomania and have even a single episode of mania (as defined by the criteria), your diagnosis will change to bipolar I disorder. This suggests that a single episode of mania is no longer considered a separate or moderate degree disease, but rather an indicator for a more severe condition.

Search result [6] provides a definition of Bipolar I Disorder Manic Episode, which includes a distinct period of abnormally and persistently elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary). This indicates that the criteria for diagnosing bipolar I disorder include a single episode of mania.

Search result [11] states that most people with bipolar I disorder also suffer from manic episodes, which are periods of abnormally elevated or irritable mood and high energy, accompanied by abnormal behavior that disrupts life. This further supports the idea that a single episode of mania is not considered a standalone diagnosis, but rather an indicator for a more severe condition.

In summary, it appears that a single episode of mania is no longer considered a separate or moderate degree disease, but rather an indicator for bipolar I disorder. The criteria for diagnosing bipolar I disorder include a single episode of mania, and most people with this condition also experience manic episodes.

• A single episode of mania is not considered a standalone diagnosis [8].
• The criteria for diagnosing bipolar I disorder include a single episode of mania [6].
• Most people with bipolar I disorder also suffer from manic episodes [11].

Based on the provided context, here are the signs and symptoms of what appears to be an outdated classification of a single episode manic disease at a moderate degree:

• Elevated or irritable mood: People with this condition may experience a period of abnormally elevated or irritable mood, accompanied by high energy (8).
• High energy: They may exhibit high levels of physical and mental activity, which can be intense but not necessarily severe (3, 7).
• Racing thoughts/flight of ideas: Individuals with this condition may experience rapid changes in their thought patterns, making it difficult to focus or maintain a single train of thought (10).
• Distractibility: They may find it challenging to concentrate on tasks or activities due to an excessive preoccupation with other things (10).
• Agitation: Some people with this condition may exhibit agitated behavior, such as restlessness, pacing, or irritability (10).
• Decreased sleep: Individuals with this condition may experience decreased sleep or insomnia, which can exacerbate their symptoms (12).

It's essential to note that these symptoms are associated with an outdated classification of a single episode manic disease at a moderate degree. Modern psychiatric classifications and diagnostic criteria have evolved to better understand and categorize mental health conditions.

References:

• [8] A person affected by bipolar I disorder has had at least one manic episode in their life.
• [3] The first thing to know about mania in bipolar I: "Every person's manic episode is different and the first signs of the manic episode are also different," says Igor Galynker, M.D., a ...
• [7] Manic symptoms are experienced when a person is in a manic or hypomanic state.
• [10] Distractibility, racing thoughts/flight of ideas, and agitation were the most frequently identified manic symptoms.
• [12] Individuals may also present with decreased sleep, grandiosity, talkativeness, racing thoughts, and indiscretion or risk-taking behaviours.

Based on the provided context, it appears that you are looking for diagnostic tests for a specific type of mental health condition.

Physical Exam and Lab Tests

A physical exam and lab tests can be used to rule out other medical conditions that may be causing symptoms similar to those of mania or bipolar disorder. This includes:

• Complete blood count (CBC)
• Erythrocyte sedimentation rate (ESR)
• Fasting glucose
• Electrolytes
• Proteins
• Biomarkers
• Thyroid hormones

These tests can help identify underlying medical conditions that may be contributing to symptoms, such as hyperthyroidism, which can cause anxiety, agitation, and weight loss similar to those experienced during a manic episode [5].

Diagnostic Criteria

To diagnose bipolar disorder, doctors use specific diagnostic criteria outlined in the DSM-5. These criteria include:

• A manic episode, which may have been preceded by and followed by hypomanic or major depressive episodes
• Increased activity and energy levels, in addition to mood changes
• Symptoms must be severe enough to cause significant distress or impairment in social, occupational, or other areas of functioning [12]

Ruling Out Other Conditions

Before diagnosing bipolar disorder, doctors should rule out other conditions that can mimic the symptoms of mania or bipolar disorder. This includes physical conditions such as hyperthyroidism, which can be diagnosed through blood tests [13].

It's worth noting that there are no specific blood tests or brain scans to diagnose bipolar disorder. A doctor may perform a physical exam and order lab tests, including a thyroid function test and urine analyses, but these tests are not definitive for diagnosing the condition [15].

Based on the provided context, it appears that you are looking for information on the drug treatment of a specific type of mental illness, namely "single episode manic disease" which is considered obsolete.

According to search result [10], maintenance medication treatment is generally recommended following a single manic episode. However, since the term "single episode manic disease" is considered obsolete, it's likely that this recommendation applies to more common and current diagnoses such as bipolar disorder or manic episodes within that condition.

In terms of drug treatment for moderate degree manic episodes, search result [5] mentions quetiapine as a medication with antipsychotic, antimanic, and antidepressant properties in both unipolar and bipolar depression. However, it's essential to note that this information is based on the context provided and might not be directly applicable to "single episode manic disease" due to its obsolete nature.

Other search results mention various medications such as lithium (search result [15]), which is considered a cornerstone of treatment for bipolar disorder, including mania. However, it's unclear if these treatments would be suitable for an obsolete diagnosis like "single episode manic disease".

It's also worth noting that the context mentions that maintenance medication treatment is generally recommended following a single manic episode (search result [10]). This might imply that drug treatment could be considered for moderate degree manic episodes as part of a broader treatment plan.

In summary, while there isn't direct information on "single episode manic disease" due to its obsolete nature, the context suggests that maintenance medication treatment and certain medications like quetiapine or lithium might be relevant for treating related conditions such as bipolar disorder or manic episodes.

Based on the provided context, it appears that you are looking for information on the differential diagnosis of a condition characterized by a single episode of moderate-degree mania.

Differential Diagnosis

The differential diagnosis for a single episode of moderate-degree mania may include:

• Bipolar I Disorder: A manic episode is a period of abnormally elevated, extreme changes in mood, behavior and activity and energy level [4]. In some presentations, one's mood can shift very quickly between mania, anger, irritability, and/or depression [3].
• Hypomanic Episodes: Hypomanic episodes are common in bipolar 1. However, the diagnosis of bipolar 1 disorder does not require them [6].
• Mild to Moderate Manic or Mixed Episodes: These may be considered as part of a differential diagnosis for a single episode of moderate-degree mania [11].

Key Considerations

When considering the differential diagnosis for a single episode of moderate-degree mania, it is essential to rule out other conditions that may present with similar symptoms. This includes:

• Substance-induced Manic Episodes: Manic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should be excluded [10].
• General Medical Conditions: Certain medical conditions, such as hyperthyroidism, may also present with manic symptoms and should be ruled out [10].

References

[3] Bipolar I Disorder Primer [4] A manic episode is a period of abnormally elevated, extreme changes in mood, behavior and activity and energy level. [6] Hypomanic episodes are common in bipolar 1. However, the diagnosis of bipolar 1 disorder does not require them. [10] Manic-like episodes that are clearly caused by somatic antidepressant treatment (e.g., medication, electroconvulsive therapy, light therapy) should be excluded. [11] A manic episode experienced even once in a lifetime qualifies for a diagnosis of bipolar I disorder.