Delusional disorder physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
Patients with delusional disorder usually appear well groomed and well-dressed without evidence of gross impairment. Mental status examination of patients with delusional disorder is usually remarkable for dysphoria, delusional beliefs, and suicidal or violent thinking. | Patients with delusional disorder usually appear well groomed and well-dressed without evidence of gross impairment. Mental status examination of patients with delusional disorder is usually remarkable for dysphoria, delusional beliefs, and suicidal or violent thinking.<ref name="wiki"> Delusional disorder. Wikipedia(2015) https://en.wikipedia.org/wiki/Delusional_disorder#Causes Accessed on December2, 2015</ref > | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the Patient=== | ===Appearance of the Patient=== | ||
*Patients are well groomed and well-dressed without evidence of gross impairment. | *Patients are well groomed and well-dressed without evidence of gross impairment. | ||
===Mental status examination=== | ===Mental status examination=== | ||
*The mental status examination is used to assess the patient's current mental condition. | *The mental status examination is used to assess the patient's current mental condition.<ref name="wiki"> Delusional disorder. Wikipedia(2015) https://en.wikipedia.org/wiki/Delusional_disorder#Causes Accessed on December2, 2015</ref > | ||
*Speech, eye contact, and psychomotor activity may be affected by the emotional state associated with delusions, but are otherwise normal. | *Speech, eye contact, and psychomotor activity may be affected by the emotional state associated with delusions, but are otherwise normal. | ||
*Mood and affect are consistent with delusional content. Mild dysphoria may be present without regard of type of delusions. | *Mood and affect are consistent with delusional content. Mild dysphoria may be present without regard of type of delusions. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
Patients with delusional disorder usually appear well groomed and well-dressed without evidence of gross impairment. Mental status examination of patients with delusional disorder is usually remarkable for dysphoria, delusional beliefs, and suicidal or violent thinking.[1]
Physical Examination
Appearance of the Patient
- Patients are well groomed and well-dressed without evidence of gross impairment.
Mental status examination
- The mental status examination is used to assess the patient's current mental condition.[1]
- Speech, eye contact, and psychomotor activity may be affected by the emotional state associated with delusions, but are otherwise normal.
- Mood and affect are consistent with delusional content. Mild dysphoria may be present without regard of type of delusions.
- The mental status examiination is usually normal with exception of the presence of abnormal delusional beliefs.
- Suicidal and violent thinking as well as impulsivity should be carefully assessed.
Neuromuscular
- Memory and cognition are intact.
- Level of consciousness is unimpaired.
- Tactile and olfactory hallucinations may be present.[2]
References
- ↑ 1.0 1.1 Delusional disorder. Wikipedia(2015) https://en.wikipedia.org/wiki/Delusional_disorder#Causes Accessed on December2, 2015
- ↑ Ramos N, Wystrach C, Bolton M, Shaywitz J, IsHak WW (2013). "Delusional disorder, somatic type: olfactory reference syndrome in a patient with delusional trimethylaminuria". J Nerv Ment Dis. 201 (6): 537–8. doi:10.1097/NMD.0b013e31829482fd. PMID 23719328.