Anxiety physical examination: Difference between revisions
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==Physical Examination== | {{CMG}};{{AE}}{{Vbe}} | ||
* Physical | == Overview== | ||
== | The diagnosis of [[anxiety]] is mostly [[clinical]], based on a thorough [[History and Physical examination|history]] and [[Physical Examination|physical]] [[Examination|exam]]. Some of the [[Physical culture|physical]] [[Examination|exam]] [[Findings on urinalysis|findings]] in [[anxiety]] are [[tremor]], [[tachycardia]], [[twitches]], [[sweating]], [[restlessness]]. | ||
== Physical examination== | |||
* The following are the some of the [[Physical culture|physical]] [[examination]] [[Findings on urinalysis|findings]] associated with [[anxiety]] [[disorders]]:<ref name="pmid28422599">{{cite journal |vauthors=de Alencar NA, Leão CS, Leão ATT, Luiz RR, Fonseca-Gonçalves A, Maia LC |title=Sleep Bruxism and Anxiety Impacts in Quality of Life Related to Oral Health of Brazilian Children and their Families |journal=J Clin Pediatr Dent |volume=41 |issue=3 |pages=179–185 |year=2017 |pmid=28422599 |doi=10.17796/1053-4628-41.3.179 |url=}}</ref> | |||
<ref name="pmid28353618">{{cite journal |vauthors=Palacios-Ceña M, Castaldo M, Wang K, Catena A, Torelli P, Arendt-Nielsen L, Fernández-de-Las-Peñas C |title=Relationship of active trigger points with related disability and anxiety in people with tension-type headache |journal=Medicine (Baltimore) |volume=96 |issue=13 |pages=e6548 |year=2017 |pmid=28353618 |pmc=5380302 |doi=10.1097/MD.0000000000006548 |url=}}</ref> | |||
===Appearance of the patient=== | |||
* The [[patient]] appears panicky, [[Restless legs syndrome|restless]], [[anxious]] | |||
===HEENT=== | |||
* [[Dry mouth]] | |||
=== Extremities=== | |||
*[[Cold]], [[sweaty]], [[tingling]] of hands and feet | |||
===Respiratory=== | |||
* [[Shortness of breath]] | |||
===Cardiovascular=== | |||
* [[Tachycardia]], [[palpitations]] | |||
===Musculoskeletal=== | |||
* [[Tenseness|Tense]] muscles | |||
===Central nervous system=== | |||
* [[Dizziness]] | |||
===Mental status examination=== | |||
[[Complete A-Z|Complete]] [[mental status examination]] should be obtained for each [[patient]] with [[anxiety]] [[symptoms]], assessing [[appearance]], [[behavior]], ability to cooperate with the [[Examination|exam]], level of activity, [[speech]], [[mood]] and [[affect]], [[thought]] processes and [[Content validity|content]], [[Insight Seminars|insight]], and judgment. [[Patients]] are generally oriented times 3 and cooperative. [[Mood]] may be normal or [[Depressed Mood|depressed]]. [[Affect (psychology)|Affect]] is often preserved. [[Psychotic]] [[symptoms]] are not typical of uncomplicated [[anxiety]] [[disorders]]. [[Suicidal ideation]] should be assessed by asking about [[Passive-aggressive behavior|passive]] thoughts of death, desires to be dead, thoughts of harming self, or plans or acts to harm self. Homicidal ideation is uncommon. [[Cognition]] is typically intact with no impairment in [[memory]], [[language]], or [[speech]]. [[Insight Seminars|Insight]] and judgment are typically intact. | |||
==References== | |||
<references /> | |||
Latest revision as of 13:59, 12 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The diagnosis of anxiety is mostly clinical, based on a thorough history and physical exam. Some of the physical exam findings in anxiety are tremor, tachycardia, twitches, sweating, restlessness.
Physical examination
- The following are the some of the physical examination findings associated with anxiety disorders:[1]
Appearance of the patient
HEENT
Extremities
Respiratory
Cardiovascular
Musculoskeletal
- Tense muscles
Central nervous system
Mental status examination
Complete mental status examination should be obtained for each patient with anxiety symptoms, assessing appearance, behavior, ability to cooperate with the exam, level of activity, speech, mood and affect, thought processes and content, insight, and judgment. Patients are generally oriented times 3 and cooperative. Mood may be normal or depressed. Affect is often preserved. Psychotic symptoms are not typical of uncomplicated anxiety disorders. Suicidal ideation should be assessed by asking about passive thoughts of death, desires to be dead, thoughts of harming self, or plans or acts to harm self. Homicidal ideation is uncommon. Cognition is typically intact with no impairment in memory, language, or speech. Insight and judgment are typically intact.
References
- ↑ de Alencar NA, Leão CS, Leão A, Luiz RR, Fonseca-Gonçalves A, Maia LC (2017). "Sleep Bruxism and Anxiety Impacts in Quality of Life Related to Oral Health of Brazilian Children and their Families". J Clin Pediatr Dent. 41 (3): 179–185. doi:10.17796/1053-4628-41.3.179. PMID 28422599. Vancouver style error: initials (help)
- ↑ Palacios-Ceña M, Castaldo M, Wang K, Catena A, Torelli P, Arendt-Nielsen L, Fernández-de-Las-Peñas C (2017). "Relationship of active trigger points with related disability and anxiety in people with tension-type headache". Medicine (Baltimore). 96 (13): e6548. doi:10.1097/MD.0000000000006548. PMC 5380302. PMID 28353618.