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EXAMINATION
GENERAL OBSERVATION
COMPONENT DEFINITION/CONTENT WHAT TO ASSESS SAMPLE QUESTION/TEST POTENTIAL DIAGNOSES IF ABNORMAL
Appearance Body habitus, eye contact, Appearance: attention to detail, attire, N/A Disheveled: depression, schizophrenia/psychotic
and Behavior interpersonal style, style of distinguishing features, grooming, disorder, substance use
dress hygiene
Irritable: anxiety
Behavior: candid, congenial,
cooperative, defensive, engaging, Paranoid: psychotic disorder
guarded, hostile, irritable, open,
relaxed, resistant, shy, withdrawn Eye Poor eye contact: depression, psychotic disorder
Motor Activity Facial expressions, movements, Akathisia: excessive motor activity N/A Akathisia: anxiety, drug overdose or withdrawal,
posture medication effect, mood disorder, parkinsonism,
Bradykinesia: psychomotor retardation post traumatic stress disorder, schizophrenia