University:
Stanford University
Course:
MED 101 | Human Anatomy
Academic year:

2023
Views:

43

Pages:

2
Author:

larbi43100

‭DIFFERENTIAL DIAGNOSIS‬ ‭1.3.‬ ‭Organic causes‬ ‭Certain organic pathologies can lead to confusion with depression such as: Neoplasia, Parkinson's‬ ‭disease, brain tumors, requiring the practice of additional explorations‬ ‭Hypothyroidism‬ ‭should‬ ‭be‬ ‭looked‬ ‭for‬ ‭in‬ ‭particular‬ ‭bradycardia,‬ ‭chilliness‬ ‭or‬ ‭increased‬ ‭weight.‬ ‭Addisson's‬‭disease‬‭which‬‭is‬‭characterized‬‭by‬‭intense‬‭psychological‬‭and‬‭physical‬‭asthenia‬‭with‬‭abulia.‬ ‭Diabetes or asthenia is common.‬ ‭It‬‭should‬‭be‬‭noted‬‭that‬‭organic‬‭pathology‬‭should‬‭be‬‭sought‬‭in‬‭the‬‭absence‬‭of‬‭a‬‭triggering‬‭factor,‬‭in‬‭the‬ ‭absence‬‭of‬‭a‬‭personal‬‭or‬‭family‬‭mood‬‭history,‬‭in‬‭the‬‭presence‬‭of‬‭symptoms‬‭suggestive‬‭of‬‭an‬‭organic‬ ‭pathology‬ ‭or‬ ‭confusing‬ ‭elements‬‭or‬‭when‬‭the‬‭slowdown,‬‭the‬‭Asthenia‬‭or‬‭anorexia‬‭are‬‭clear‬‭without‬ ‭real depression of mood.‬ ‭1.4.‬ ‭Mourning‬ ‭Although it can be complicated by a depressive state, mourning is distinguished by:‬ ‭●‬ ‭Depressive ruminations remain centered on the lost being with painful feelings of injustice,‬ ‭revolt or anger‬ ‭●‬ ‭The absence of psychomotor slowing and suicidal ideation‬ ‭●‬ ‭Sensitivity to reassurance and reduction of symptoms over time‬ ‭1.5.‬ ‭Anxiety disorders‬ ‭Depressive and anxiety symptoms are often intertwined, with one complicating the other. In favor of‬ ‭an anxiety disorder:‬ ‭●‬ ‭The evolution of attacks of anxiety, whereas in depression, it is more or less permanent and‬ ‭typically predominantly morning‬ ‭●‬ ‭The presence of other symptoms of the phobic or obsessive series‬ ‭●‬ ‭Avoidance or reassurance behaviors and rituals‬ ‭1.6.‬ ‭Psychotic disorders‬ ‭The‬‭acute‬‭delirious‬‭burst‬‭(BDA)‬‭poses‬‭a‬‭problem‬‭of‬‭differential‬‭diagnosis‬‭with‬‭delusional‬‭depression.‬ ‭In‬‭favor‬‭of‬‭BDA:‬‭the‬‭brutal‬‭beginning‬‭of‬‭a‬‭rich‬‭and‬‭polymorphous‬‭delirium,‬‭experienced‬‭intensely‬‭in‬ ‭an atmosphere of strangeness and anguish.‬ ‭Schizophrenia‬ ‭●‬ ‭Early form of schizophrenia with atypical depression‬ ‭●‬ ‭Depressive states occurring during the illness‬ ‭●‬ ‭Certain‬ ‭forms‬ ‭of‬ ‭schizophrenia:‬ ‭catatonic‬ ‭schizophrenia‬ ‭(state‬ ‭of‬ ‭stupor)‬ ‭and‬ ‭hebephrenia‬ ‭(deficit or negative signs).‬ ‭Delusional disorder‬ ‭1.7.‬ ‭Madness‬ ‭The‬ ‭intellectual‬ ‭disturbances‬ ‭which‬ ‭accompany‬ ‭certain‬ ‭depressive‬ ‭states,‬ ‭especially‬ ‭in‬ ‭the‬ ‭elderly,‬ ‭often‬‭pose‬‭a‬‭differential‬‭diagnosis‬‭with‬‭a‬‭dementia‬‭process.‬‭A‬‭history‬‭of‬‭depression‬‭and‬‭the‬‭presence‬ ‭of instinctive disorders are in favor of depression.‬ ‭The therapeutic test allowsoften to distinguish between these two diagnoses (put on antidepressants)‬ ‭1.8.‬ ‭Differential diagnoses of depression in children and adolescents‬ ‭-‬ ‭Attention deficit hyperactivity disorder, especially in school-aged children‬ ‭-‬ ‭Anxiety disorders‬ ‭-‬ ‭Conduct disorders‬ ‭-‬ ‭Variations‬ ‭of‬ ‭normal:‬ ‭any‬ ‭child‬ ‭or‬ ‭adolescent‬ ‭can‬ ‭experience‬ ‭depressive‬ ‭moments‬ ‭during‬ ‭their‬ ‭development‬ ‭that‬ ‭are‬ ‭not‬ ‭pathological.‬ ‭These‬ ‭variations‬ ‭from‬ ‭normal‬ ‭are‬ ‭differentiated‬ ‭from‬ ‭an‬ ‭authentic depressive episode by their transient nature and the low impact on the child's life.‬