Search This Blog

Monday, June 8, 2020

Physical Exam - Psychiatric Mental Status Exam

The patient’s mood [how the patient tells you they’re feeling-is described as anxious/depressed/crawling out of their skin/etc.].  The patient’s affect [what you observe-appears anxious/depressed/flattened/blunted/restricted/exaggerated] which is [congruent/incongruent] with their reported mood.  Patient noted to be [making good/poor eye contact/frequently looking down/away].  Patient [was/was not] noted to be attending to internal stimuli [specify/with patient noted to be conversing in an empty room/etc.].  The patient’s thought process is noted to be [organized/disorganized with/without delusions/obsessions].  The patient’s speech [is noted to be unremarkable/notable for pressured speech/inappropriately loud/soft given size of the room and distance apart/tangential speech/etc.].  The patient was noted to be [well kempt and groomed/disheveled/encrusted with urine and feces].  

The patient was noted to be expressing [suicidal thoughts with/without reported plan/no suicidal or homicidal thoughts or plan at this time].  The patient [reported/denied] hallucinations [described as auditory/visual].

https://www.hippoed.com/em/ercast/episode/march2017/examiningmental

No comments:

Post a Comment

Hunt & Hess Classification of Subarachnoid Hemorrhage (SAH)

Hunt & Hess Classification of Subarachnoid Hemorrhage (SAH) Classifies severity of SAH to predict mortality based on signs and symptom...