a196_notes
A196 NotesField Label
note: the following factors should be considered and, if present, support the conclusion that a general medical condition is etiologic to the bipolar symptoms. 1) there is evidence from the literature of a well-established association between the general medical condition and the bipolar symptoms. etiological medical conditions include: stroke, huntington's disease, parkinson's disease, traumatic brain injury, cushing's disease, hypothyroidism, multiple sclerosis, systemic lupus erythematosus. etiological substances/medications include: alcohol (i/w), phencyclidine (i), hallucinogens (i), inhalants (i), opioids (i/w), sedative, hypnotics or anxiolytics (i/w), amphetamine and other stimulants (i/w), cocaine (i/w), antiviral agents (etavirenz), cardiovascular agents (clonodine, guanethidine, methyldopa, reserpine), retinoic acid derivatives (isotretinoin), antidepressants, anticonvulsants, anti-migraine agents (triptans), antipsychotics, hormonal agents (corticosteroids, oral contraceptives, gonadotropin-releasing hormone agonists, tamoxifen), smoking cessation agents (varenicline) and immunological agents (interferon). 2) there is a close temporal relationship between the course of the bipolar symptoms and the course of the general medical condition. 3) the bipolar symptoms are characterized by unusual presenting features (e.g., late age-at-onset). 4) the absence of alternative explanations (e.g., bipolar symptoms as a psychological reaction to the stress of being diagnosed with a general medical condition).
Branching Logic
([a69_gmc] = "1" or [a90_gmc] = "1" or [a107_gmc] = "1" or [a128_gmc] = "1" or [a136_gmc] = "1" or [d23_gmc] = "1") and [a194] <> "1"