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Psychiatric Long Case
Aim
- differential diagnosis
- organic psychoses
- functional psychoses
- non-psychotic disorders
- personality disorders
- Aetiology
- predisposing factors
- precipitating factors
- maintaining factors
- Investigations
- Treatment
- Prognosis
History
- presenting complaint
- HPC
- duration
- how diagnosed
- associated symptoms
- PMH / Past Psych Hx
- Family Hx
- Personal Hx
- childhood
- school
- sexual development
- marriages / children
- occupation (past and present)
- Forensic
- social hx
- Pre-morbid personality
- interests
- relationships
- previous level of function
- coping skills
- Drugs
- prescribed
- recreational
- Smoking
- Alcohol
- Revision of general symptoms
Examination
Mental State Examination
- Behaviour / Appearance
- Dress
- Conscious level
- Posture
- Involuntary Movements
- Self care
- Eye contact
- Rapport
- Speech
- Mood
- subjective
- objective
- variability
- autonomic activity
- Thought Form and content
- abnormal beliefs
- suicidal ideation
- preoccupations
- Perception
- illusions
- hallucinations
- passivity
- depersonalisation
- Orientation
- Attention / Concentration
- Months
- Days backwards
- Serial 7s
- Short-term Memory
- Longer Term Memory
- Abstraction
- Difference between a boy and a dwarf
- Explain Proverbs
- Insight
- Do they realise they are ill?
- Are they willing to be treated?
General examination
Investigations
Treatments
- Psychological
- Physical / Medical
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