Delusional disorder physical examination: Difference between revisions
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*Memory and cognition are intact. | *Memory and cognition are intact. | ||
*Level of consciousness is unimpaired. | *Level of consciousness is unimpaired. | ||
*Tactile and olfactory hallucinations may be present.<ref name="pmid23719328">{{cite journal| author=Ramos N, Wystrach C, Bolton M, Shaywitz J, IsHak WW| title=Delusional disorder, somatic type: olfactory reference syndrome in a patient with delusional trimethylaminuria. | journal=J Nerv Ment Dis | year= 2013 | volume= 201 | issue= 6 | pages= 537-8 | pmid=23719328 | doi=10.1097/NMD.0b013e31829482fd | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23719328 }} </ref> | *Patients with delusional disorder usually have no abnormalityin orientation unless they have a specific delusion about a person, place, or time. | ||
*Tactile and olfactory hallucinations may be present.<ref name="pmid23719328">{{cite journal| author=Ramos N, Wystrach C, Bolton M, Shaywitz J, IsHak WW| title=Delusional disorder, somatic type: olfactory reference syndrome in a patient with delusional trimethylaminuria. | journal=J Nerv Ment Dis | year= 2013 | volume= 201 | issue= 6 | pages= 537-8 | pmid=23719328 | doi=10.1097/NMD.0b013e31829482fd | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=23719328 }} </ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 07:04, 5 December 2015
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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.
- Patients with delusional disorder usually have no abnormalityin orientation unless they have a specific delusion about a person, place, or time.
- 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.