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ICD-10 is the 10th revision of the International Classification of Diseases (ICD), a medical classification list by the World Health Organization (WHO). It contains codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases. [1]
Bipolar I disorder requires confirmation of only 1 full manic episode for diagnosis, but may be associated with hypomanic and depressive episodes as well. [7] Diagnosis for bipolar II disorder does not include a full manic episode; instead, it requires the occurrence of both a hypomanic episode and a major depressive episode. [7]
Orthostatic vital signs are also taken after surgery. [7] A patient is considered to have orthostatic hypotension when the systolic blood pressure falls by more than 20 mm Hg, the diastolic blood pressure falls by more than 10 mm Hg, or the pulse rises by more than 20 beats per minute within 3 minutes of standing [5] [7]
The diagnosis of bipolar NOS is indicated when there is a rapid change (days) between manic and depressive symptoms and can also include recurring episodes of hypomania. Bipolar NOS may be diagnosed when it is difficult to tell whether bipolar is the primary disorder due to another general medical condition, such as a substance use disorder. A ...
Generally speaking, maintenance treatment of bipolar disorder continues long after symptom control has been achieved. Following diagnostic evaluation, the treating clinician must determine the optimal treatment setting in order to ensure the patient's safety. Assessment of suicide risk is key, as the rate of suicide completion among those with ...
The poor response from some bipolar patients to treatment has given evidence to the concept of treatment-resistant bipolar disorder. [165] [166] Guidelines to the definition of treatment-resistant bipolar disorder and evidence-based options for its management were reviewed in 2020. [167]
.7 Bipolar I disorder, most recent episode unspecified.0x Bipolar I disorder, single manic episode .06 In full remission.05 In partial remission.01 Mild.02 Moderate.03 Severe without psychotic features.04 Severe with psychotic features.00 Unspecified; 296.89 Bipolar II disorder; 301.13 Cyclothymic disorder; 296.80 Bipolar disorder NOS
Suicide is a common cause of death for many patients with severe psychiatric illness. The mood disorders (depression and bipolar) are by far the most common psychiatric conditions associated with suicide. At least 25% to 50% of patients with bipolar disorder also attempt suicide at least once.