hypertension Need A Link

[Billyboy]

Does anyone know of links, (previous cases) where the vet is connected for Major Depressive Disorder and linked to hypertension, back and neck problems or something like that?

[mountain tyme]

Hello Billy boy...

here is a link...

http://www.oqp.med.va.gov/cpg/MDD/D/MDD_CPG_v21.PDF

Go to this section K for the chart...but the whole manual is helpful for anyone with MDD it list many other conditions secondary to MDD that the VA reconizes..hope this link helps

MT

K. Do Medical Conditions Contribute to Symptoms?

OBJECTIVE

To identify patients who may be experiencing depressed symptoms as a result of an underlying medical

condition.

ANNOTATION

Table 2 includes many of the pathobiologies associated with depression. Simultaneous treatment is often

required for both the medical problem and psychiatric symptoms. Additionally, there is often a strong

association between the level of disability from the medical condition and the depressive symptom requiring

treatment.

A useful mnemonic for remembering these is [TIC]2p2m2d3. The mnemonic stands for:

· Trauma

· Tumor

· Infection - immune and autoimmune

· Cardiac/vascular

· Congenital/heriditary

· Physiologic - seizure

· Metabolic malignancy

· Degenerative

· Drug toxicity

· Demyelinating.

VHA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder in Adults

Module A-Primary Care Setting-Annotations Page 14

Patients with chronic pain may also have associated mood disturbance. This may be encountered among

individuals suffering conditions such as Chronic Obstructive Pulmonary Disease (COPD), or Asthma, or more

commonly, bone pain with cancer.

Table 2. Pathobiologies Related to Depression

Pathology Disease

Cardio/vascular Coronary artery disease

Congestive heart failure

Uncontrolled hypertension

Anemia

Stroke

Vascular Dementias

Chronic Pain Syndrome Fibromyalgia,

Reflex sympathetic dystrophy,

Low back pain (LBP),

Chronic pelvic pain

Bone or disease related pain

Degenerative Presbyopia

Presbycusis

Alzheimer’s disease

Parkinson’s disease

Huntington’s disease

Other Neurodegenerative diseases

Immune HIV (both primary and infection-related)

Multiple Sclerosis

Systemic Lupus Erythematosis (SLE)

Sarcoidosis

Infection Systemic Inflammatory Response Syndrome (SIRS)

Meningitis

Metabolic/Endocrine Conditions

(include renal and pulmonary)

Malnutrition, Vitamin deficiencies

Hypo/Hyperthyroidism

Addison’s Disease

Diabetes Mellitus

Hepatic disease (cirrhosis)

Electrolyte disturbances

Acid-base disturbances

Chronic Obstructive Pulmonary Disease (COPD) or

Asthma

Hypoxia

Neoplasm Of any kind, especially pancreatic or central nervous

system (CNS)

[Pete53]

Thank you MT that was a nice up.

[betrayed]

dadburnit, I wish I had this info b4 my DRO Hearing, but will save it in my ammo locker.