PRIMARY CARE PSYCHIATRY MCCARRON
XIONG COMPLETE COURSE REVIEW GUIDE
◉ Chief Complaint.
Answer: C/O: pts own words of why they are seeing you, briefly
stated.
-It is part of the evaluation of a persons thought process as well.
Answers should be consistent with being in your office, not concrete
to the question asked.
◉ Organic.
Answer: Any disease associated w/ detectable or observable
changes in one or more body organs.
◉ Concrete thinking.
Answer: - a very literal way of thinking.
- is a sign of cognitive impairment, if it isn't part of a developmental
disorder, dementia or other organic insult must now enter your
differential. At this point a family member of friend should be
present to continue interview and validate information.
◉ HPI.
,Answer: - Onset of current symptoms: acute or gradual, in response
to event or in isolation, any new physical/medical issues associated
with onset. Is this a new phenomena?
- Severity or changes in symptoms since onset: rate 1-10. When was
your last "good day"?
- Presence of suicidal ideation or intent, is there a plan, what is the
possibility of follow through.
- Any changes in living situation or life events?
- Any new meds prescribed or OTC?
- Any change is substances of abuse once used for recreation?
- What if any is the change LOF.
◉ SIG E CAPS.
Answer: Sleep
Interest( change in daily enjoyable activities)
Guilt (or worry)
energy (too much or too little),
concentration
appetite
psychomotor changes (agitated or slowed) suicidal ideation
, ◉ Previous Psych Hx.
Answer: - First presentation and symptoms. Identify specific
precipitant.
- Tx and recurrence rate.
- Hospitalizations and precipitants.
- Hx of suicidal ideation or attempts.
- Medication hx, benefits, side effects, reasons for stopping.
- Past hx substance abuse.
- Hx of trauma.
A denial of a past hx does not negate hx of illness, it may just negate
hx of treatment
◉ Past Medical Hx.
Answer: Information will help with Ddx
- Loss of consciousness, head aches or visual changes
- Endocrine issues: menstrual irregularity, ejaculatory difficulty,
changes in hair, skin or weight
- Head injuries at any time in life.
- seizure disorders or convulsions or "loss of time"
XIONG COMPLETE COURSE REVIEW GUIDE
◉ Chief Complaint.
Answer: C/O: pts own words of why they are seeing you, briefly
stated.
-It is part of the evaluation of a persons thought process as well.
Answers should be consistent with being in your office, not concrete
to the question asked.
◉ Organic.
Answer: Any disease associated w/ detectable or observable
changes in one or more body organs.
◉ Concrete thinking.
Answer: - a very literal way of thinking.
- is a sign of cognitive impairment, if it isn't part of a developmental
disorder, dementia or other organic insult must now enter your
differential. At this point a family member of friend should be
present to continue interview and validate information.
◉ HPI.
,Answer: - Onset of current symptoms: acute or gradual, in response
to event or in isolation, any new physical/medical issues associated
with onset. Is this a new phenomena?
- Severity or changes in symptoms since onset: rate 1-10. When was
your last "good day"?
- Presence of suicidal ideation or intent, is there a plan, what is the
possibility of follow through.
- Any changes in living situation or life events?
- Any new meds prescribed or OTC?
- Any change is substances of abuse once used for recreation?
- What if any is the change LOF.
◉ SIG E CAPS.
Answer: Sleep
Interest( change in daily enjoyable activities)
Guilt (or worry)
energy (too much or too little),
concentration
appetite
psychomotor changes (agitated or slowed) suicidal ideation
, ◉ Previous Psych Hx.
Answer: - First presentation and symptoms. Identify specific
precipitant.
- Tx and recurrence rate.
- Hospitalizations and precipitants.
- Hx of suicidal ideation or attempts.
- Medication hx, benefits, side effects, reasons for stopping.
- Past hx substance abuse.
- Hx of trauma.
A denial of a past hx does not negate hx of illness, it may just negate
hx of treatment
◉ Past Medical Hx.
Answer: Information will help with Ddx
- Loss of consciousness, head aches or visual changes
- Endocrine issues: menstrual irregularity, ejaculatory difficulty,
changes in hair, skin or weight
- Head injuries at any time in life.
- seizure disorders or convulsions or "loss of time"
