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Exam (elaborations)

Focused Exam: Schizophrenia

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Chief Complaint - -Established chief complaint History of Present Illness - -- Ask about onset and duration of symptoms - Ask about characteristics of symptoms - Follow up on content of hallucinations - Ask about aggravating factors of symptoms - Ask about

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Focused Exam: Schizophrenia

Chief Complaint - -Established chief symptoms
complaint - Ask about reviews for respiratory
- Ask about reviews for gastrointestinal
- Ask about reviews for neurological
History of Present Illness - -- Ask about - Ask about dental status
onset and duration of symptoms - Ask about awareness of involuntary movements
- Ask about characteristics of symptoms - Ask if involuntary movements interfere with daily
- Follow up on content of hallucinations life
- Ask about aggravating factors of symptoms
- Ask about coping strategies


Past Medical History - -- Ask about existing
health conditions
- Ask about history of mental health
- Follow up on schizophrenia diagnosis
- Follow up on insomnia
- Ask about previous psychiatric hospitalizations
- Followed up on previous hospitalizations
- Ask about suicidal ideations and self-harm
- Ask About past suicide attempts
- Follow up on suicide planning
- Ask about homicidal ideation


Home Medications - -- Ask about home
medications and treatment of symptoms
- Ask about medication regimen adherence
- Follow up on last dose of home medications
- Follow up on medication for schizophrenia
- Follow up on medication for insomnia


Social History - -- Ask about drug use
- Ask about alcohol use
- Follow up on alcohol use
- Ask about tobacco and nicotine use
- Follow up tobacco and nicotine use
- Ask about occupation and education
- Ask about living situation, safety, and support
system
- Ask about activities of daily living
- Ask about appetite


Review of Systems - -- Ask about general
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Number of pages
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Written in
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Type
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