[Bipolar depression and unipolar depression: differential diagnosis in clinical practice].

Abstract:

:When assessing a patient with depression it is crucial not to miss a diagnosis of bipolar depression. In this review we suggest that it can be achieved, first, by consistently usingstandardised diagnostic criteria (e.g., DSM-IV-TR or ICD 10) and, second, by ascertaining the presence of some clinical features. The latter include previous episodes of mood elevation, current or past episodes of psychotic depression, onset of recurrent depressive disorder before the age of 25, a strong family history of mood disorder and suicide, lack of response or "wearing off" of response to well conducted antidepressant treatment, and an unusually fast response to antidepressants with features of elation. Although more and better research is required to establish the validity, sensitivity, specificity, and predictive value of each one of these features we suggest that from a practical point of view they would increase clinicians' awareness of bipolar depression.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Leyton F,Barrera A

doi

10.4067/s0034-98872010000600017

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

773-9

issue

6

eissn

0034-9887

issn

0717-6163

journal_volume

138

pub_type

杂志文章,评审
  • [Serum levels of alanine aminotransferase in Chilean population: analysis of results of the national health survey 2009-2010].

    abstract:BACKGROUND:Determination of Alanine aminotransferase serum levels ([ALT]s) is a sensitive ana reliable test for liver diseases. AIM:To report the prevalence of abnormal [ALT]s in Chilean population and to identify associated variables. METHODS:We analyzed data from a random sub-sample of 2,794 adults surveyed during ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872013000700011

    authors: Tejos R,Padilla O,Pizarro M,Solís N,Arab JP,Margozzini P,Miquel JF,Riquelme A,Arrese M

    更新日期:2013-07-01 00:00:00

  • [Delayed hemolytic reaction to transfusion in sickle cell anemia. Report of one case].

    abstract::Sickle cell anemia was a rare disease in Chile, especially in adults, however the recent immigration wave from Haiti is changing this scenario. We report a 29 year old black female from Haiti with a non-disclosed history of sickle cell anemia. She was transfused with two units of red blood cells, found unconscious and...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872018001101347

    authors: Moya F,Rivera M,Araya F,Donoso J,Sandoval P,Varas P

    更新日期:2018-11-01 00:00:00

  • [Impact of a diploma on medical education in a medical school in Chile].

    abstract:BACKGROUND:The medical school of the Pontificia Universidad Católica de Chile offers a Diploma on Medical Education (DME) for its faculty since 2000. However its impact had never been evaluated. AIM:To determine the perception of the graduates of the impact of DME, using the Kirkpatrick model for evaluation of educati...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872011001100019

    authors: Triviño X,Sirhan M,Moore P,Montero L

    更新日期:2011-11-01 00:00:00

  • [Human races and hemato-sero-anthropology. Origin of Chilean natives and natives from Easter Island in the context of human races].

    abstract::Geographical hematology of Bernard and Ruffie, or Hemato-sero-anthropology, intends to establish relationships between hereditary genetic characters of the blood and human races. Blood groups, haptoglobins, abnormal hemoglobin and other biological traits such as color vision are related to the origin of human races, t...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Etcheverry R

    更新日期:1997-09-01 00:00:00

  • [Biopsy and endoscopic prospective study of the prevalence of intestinal metaplasia in the gastroesophageal junction in controls and in patients with gastroesophageal reflux].

    abstract:BACKGROUND:The classic diagnosis of Barret esophagus is based on the finding of three of more cm of distal esophagus covered by specialized columnar epithelium. However, at the present time, it is based on the presence of intestinal metaplasia in the junction of squamous-columnar mucosae. AIM:To assess the prevalence ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Csendes A,Smok G,Sagastume H,Rojas J

    更新日期:1998-02-01 00:00:00

  • [Renal oncocytoma: 4 cases].

    abstract::Oncocytomas are tumors characterized by cells with an eosinophilic cytoplasm. Renal oncocytomas were described in 1942. Among 46 consecutive patients operated on for renal tumors, oncocytomas were found in 4 (8.7%). In spite of a supposedly benign nature, renal oncocytoma cannot be adequately differentiated from renal...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Castillo O,van Cauwelaert R,Aguirre C,Arellano L,Medina FJ

    更新日期:1992-05-01 00:00:00

  • [Origin and development of the book Medical Semiology].

    abstract::Semiotics and Semiology share a similar etymology and meaning: the study of signs. In Medicine, signs are objective manifestations of disease, as opposed to the subjective nature of symptoms. Medical semiology comprises the study of symptoms, somatic signs and laboratory signs, history taking and physical examination ...

    journal_title:Revista medica de Chile

    pub_type: 历史文章,杂志文章

    doi:10.4067/s0034-98872018000300387

    authors: Goic G A

    更新日期:2018-03-01 00:00:00

  • [Recertification of specialists].

    abstract::Medical specialization has brought about the need to guarantee suitability for its practice. The progressive changes in knowledge and the incorporation of specific technologies, set forth the need to periodically demonstrate this capacity. In developed countries different initiatives, that sooner or later will become ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Rosselot E

    更新日期:1993-12-01 00:00:00

  • [Recent case law about the right to die].

    abstract::This paper reviews the sentences dictated between 1993 and 2002 by the Supreme Courts of Canada and the Unites States, the House of Lords and Supreme Court of the United Kingdom and the European Human Rights Court, about the validity of the legal prohibition of assistance for suicide. These sentences constituted a jud...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872016000400009

    authors: Bascuñán R A

    更新日期:2016-04-01 00:00:00

  • [Response rates to first-line treatment in eligible patients to autologous stem transplantation in Chile].

    abstract::Background The treatment of choice of newly diagnosed multiple myeloma (NDMM) is an induction with proteasome inhibitors followed autologous stem cell transplantation (HSCT). Since 2013, the treatment of these patients in the public system is based on CTD (cyclophosphamide, thalidomide, and dexamethasone). Aim To eval...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,多中心研究

    doi:10.4067/S0034-98872019001201561

    authors: Peña C,Rojas-Vallejos J,Espinoza M,Donoso J,Soto P,Cardemil D,Aranda S,Contreras C,Vergara CG,LA Rocca G,Osorio R,López-Vidal H,Chandía M,Rojas C

    更新日期:2019-12-01 00:00:00

  • [Association between sleep duration and cognitive impairment in older people].

    abstract::Background Sleep duration may be a risk factor for cognitive impairment. Aim To investigate the association between sleep duration and cognitive function in Chilean older adults. Material and Methods We analyzed information from 1,384 participants aged > 60 years participating in the National Health Survey 2009-2010 w...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019001101398

    authors: Nazar G,Leiva AM,Troncoso C,Martínez A,Petermann-Rocha F,Villagrán M,Mardones L,Martorell M,Labraña AM,Ulloa N,Díaz-Martínez X,Poblete-Valderrama F,Garrido-Méndez A,Celis-Morales C

    更新日期:2019-11-01 00:00:00

  • [Nodular goiter recurrent after surgery. A study of its pathogenesis and incidence].

    abstract::We analyzed 33 patients with recurring nodular goiter (from a population of 2,500 operated patients). Recurrence occurred 0.7 to 12 years after surgery. T4, T3, TSH, perchlorate and TRH tests were performed in 18. Results were similar to those in 13 operated patients without recurrence. Administration of thyroid hormo...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Villaseca R,López Caffarena E

    更新日期:1990-01-01 00:00:00

  • Oral health in Brazilian patients with chronic renal disease.

    abstract:BACKGROUND:Poor oral health status may have an impact on the health status of patients with chronic renal failure. AIM:To describe the oral health status of a group of Brazilian patients with chronic renal failure. MATERIAL AND METHODS:Retrospective review of the medical records of patients with chronic renal failure...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872008000600008

    authors: Souza CM,Braosi AP,Luczyszyn SM,Casagrande RW,Pecoits-Filho R,Riella MC,Ignácio SA,Trevilatto PC

    更新日期:2008-06-01 00:00:00

  • [Epidemiological profile of liver cirrhosis in Chile 1970-1992].

    abstract:BACKGROUND:Liver cirrhosis is an important public health problem in Chile. AIM:To review the main epidemiological features of liver cirrhosis in Chile in the last 22 years. METHODS:Review of yearbooks of mortality and causes of death of the Ministry of Health and Instituto Nacional de Estadísticas, review of hospital...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Serra I,Araneda J,Decinti E

    更新日期:1995-11-01 00:00:00

  • [Tumorogenesis and mdm2 protein].

    abstract::Tumorogenesis is associated with several events by which a normal cell transforms itself into a tumour cell with an increased proliferation rate. One of the most important research initiatives in this area is the characterization of the molecular mechanisms involved in tumorogenesis and cancer. Oncogenes and tumour su...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Flores C,Sobrevia L

    更新日期:2000-05-01 00:00:00

  • [Etiopathogenic factors of arterial hypertension].

    abstract::High blood pressure of unknown etiology has been related to many pathogenetic factors, mainly dietary salt intake, mental stress, alcohol consumption, sedentary living and aging. Hypertension is more common in condition such as obesity and diabetes mellitus. Sustained elevation of arterial pressure is mediated by vaso...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:

    authors: Pérez-Olea J

    更新日期:1992-06-01 00:00:00

  • [Familial association of epilepsy and cleft palate: an expression of predisposed common genetic factors or a teratogenic effect of the epilepsy genotype?].

    abstract::The familial association of epilepsy and cleft lip with or without cleft palate (CL (P)) is analyzed assuming both entities share common genetic predisposing factors. The genealogical data stemming from 169 CL (P) probands and 168 epileptic probands yielded information on the prevalence rates of cleft and epileptic re...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Blanco R,Cifuentes L,Miranda M,Rameau MX,Muñoz MA,Jara L

    更新日期:1992-09-01 00:00:00

  • [Dimensions of medical professionalism. Perspectives for the 21st. Century].

    abstract::Medicine is progressively loosing its prestige and efficacy and needs to rebuild the moral values that maintain the tacit social contract subscribed between doctors and patients. This altruistic commitment to serve people has been devaluated by changes in health systems, by advances in knowledge and by social and econ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872006000500016

    authors: Rosselot J E

    更新日期:2006-05-01 00:00:00

  • [Long-term follow-up of non-operated patients with symptomatic and asymptomatic cholelithiasis].

    abstract:BACKGROUND:In Chile, cholelithiasis is a serious public health problem and there are no studies about its natural history. AIM:To assess the long term evolution of patients with symptomatic and asymptomatic cholelithiasis. PATIENTS AND METHODS:Ninety two patients with cholelithiasis (57 female), aged 15 to 80 years o...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Csendes A,Csendes P,Burdiles P

    更新日期:1996-10-01 00:00:00

  • [Determination of plasma levels of phenytoin. Evaluation of 2 techniques].

    abstract::We compared 2 techniques for determination of plasma levels of phenytoin, liquid-gas chromatography (LGC) and homogeneous enzymatic immunoassay (EI) in samples from 72 patients receiving monotherapy with this drug. Determinations were also made in samples of normal plasma with known concentrations of phenytoin. Good c...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:

    authors: Estruch J,Galdames D,Varas S,Saavedra I

    更新日期:1989-08-01 00:00:00

  • [Evolutionary perspective of eating disorders].

    abstract:BACKGROUND:Evolutionary theory has contributed with physiological, psychological and behavioral explanations to the comprehension and treatment of eating disorders (ED). The aim of this review is to analyze the relationship between ED and the attachment theory and natural selection based hypotheses (famine flight, repr...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872012000400015

    authors: Behar A R

    更新日期:2012-04-01 00:00:00

  • [Academic self-efficacy among health care undergraduate students in a Chilean university].

    abstract:BACKGROUND:Self-efficacy refers to people's expectations about personal resources available for goal achievement. Higher self-efficacy expectations are correlated with higher academic performance. AIM:To analyze the psychometric properties of the Academic Behavior Self-Efficacy Scale (ABSES) and to describe Self-effic...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872019000700914

    authors: Hechenleitner-Carvallo MI,Jerez-Salinas AA,Pérez-Villalobos CE

    更新日期:2019-07-01 00:00:00

  • [Default mode network and Alzheimer's disease].

    abstract::Brain functioning is mainly intrinsic, not primarily reflexive. This is supported by the high energy requirements of the resting brain (20% of all the energy consumed) which only marginally increases with changes in brain activity. Modern neuroimaging and neurophysiological techniques have led to the discovery of the ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章,评审

    doi:10.4067/S0034-98872013000300014

    authors: Vergara E F,Behrens MI

    更新日期:2013-03-01 00:00:00

  • [Association between physical fitness parameters and health related quality of life in Chilean community-dwelling older adults].

    abstract:BACKGROUND:There is no conclusive evidence about the association between physical fitness (PF) and health related quality of life (HRQOL) in older adults. AIM:To seek for an association between PF and HRQOL in non-disabled community-dwelling Chilean older adults. MATERIAL AND METHODS:One hundred and sixteen subjects ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872017000100008

    authors: Guede Rojas F,Chirosa Ríos LJ,Fuentealba Urra S,Vergara Ríos C,Ulloa Díaz D,Campos Jara C,Barbosa González P,Cuevas Aburto J

    更新日期:2017-01-01 00:00:00

  • [Medical coverage of the disease that causes death and place of death in the sixth region of Chile from 1990 to 2003].

    abstract:BACKGROUND:The place of death has changed and coverage of medical attention at death varies according to the development level of countries. AIM:To assess the evolution of coverage of medical attention of the last disease and place of death as indicators of health care quality and development level, in the sixth regio...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/s0034-98872007000800010

    authors: Leiva H H,León K F

    更新日期:2007-08-01 00:00:00

  • [Implementation of multidisciplinary clinical pathways in a highly complex health institution].

    abstract::Clinical pathways or structured multidisciplinary care plans are a tool to standardize clinical practice. The aim of this article is to describe and propose a methodology for the development of clinical pathways in a highly complex health institution. We used the guidelines of the European Quality of Care Pathway, whi...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:10.4067/S0034-98872020000901331

    authors: Chávez Barrientos P,Menajovsky Haas C,Arriagada Beyzaga L

    更新日期:2020-09-01 00:00:00

  • [Clinical and metabolic features of subjects with glucose intolerance and high fasting glucose levels].

    abstract:BACKGROUND:Subjects with glucose intolerance or high fasting glucose levels have a higher cardiovascular risk and frequently become diabetic. AIM:To assess clinical and metabolic characteristics of patients with glucose intolerance or high fasting glucose levels. MATERIAL AND METHODS:Fasting and post glucose load ser...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009000200002

    authors: Arteaga Llona A,Pollak F,Robres L,Velasco N

    更新日期:2009-02-01 00:00:00

  • [Are blood glucose measurements made with portable glucometers reliable?].

    abstract::Examinations performed beside the bed of patients ("Point-of-care testing, POCT") provide immediate results and are simple to perform. The most common of these tests is the self control of blood glucose levels in diabetic patients. The use of these devices at the hospital level, introduces a new set of requirements to...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009000900018

    authors: Guzmán D AM,Quiroga G T

    更新日期:2009-09-01 00:00:00

  • [Gastric adenocarcinoma appearing 32 years after the resection of a gastric lymphoma. Report of one case].

    abstract::The association of gastric lymphoma and gastric adenocarcinoma in the same patient is uncommon. We report a 76 year-old male with a previous history of massive upper gastrointestinal bleeding who required a subtotal gastrectomy with Billroth II reconstruction in 1974. Pathology demonstrated a gastric lympho-histiocyti...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872008001000013

    authors: Butte JM,Torres J,Duarte I,Guzmán S,Llanos O

    更新日期:2008-10-01 00:00:00

  • [Small-for-size syndrome. Report of one case].

    abstract::Although the use of cadaveric split or living donor liver transplantation is a valid option for liver transplants, they have several complications, being the "small-for-size syndrome" one of the most frequent. This entity is mainly due to the incapacity that the graft has to meet the blood drainage demands. We report ...

    journal_title:Revista medica de Chile

    pub_type: 杂志文章

    doi:/S0034-98872009000700009

    authors: Yarur A,Castro L,Segovia R,Roblero JP,Uribe M,Ferrario M,Buckel E

    更新日期:2009-07-01 00:00:00