Schizophrenia physical examination: Difference between revisions
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Revision as of 16:16, 30 April 2018
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- The following are the some of the physical examination findings associated with schizophrenia
Appearance of the patient
- The patient appears dishevelled, disorganized
HEENT
- Raoid eye movements
- Increased rate of blinking
- Poor oral hygiene
Extremities
- Unusual movements
Respiratory
Cardiovascular
Musculoskeletal
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.