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CLINICAL               4        PATIENT PRESENTATIONS RELATED TO THE
          PRESENTATION
                                          NERVOUS SYSTEM AND MENTAL HEALTH




             Patient presentations span all relevant age                              The Guide to clinical presentations in this category may
             categories, special populations, and varied                              include, but is not limited to, the following ways in which
             clinical settings.                                                       patients present for osteopathic medical care:


                                                                                      abuse and neglect, child or elder • acalculia • action tremors • adjustment
             4.1   ANXIETY                                                            disorder  • agnosia • agraphia • akinesia • amyotrophic lateral sclerosis •
             4.2   DISTURBANCES OF MOOD/DEPRESSIVE DISORDERS                          anomia • anxiety disorders, including generalized anxiety, anxiety secondary to
                                                                                      another medical condition, anxiety secondary to another mental disorder or
             4.3   COGNITIVE DISTURBANCES
                                                                                      induced by illicit, prescribed, or over-the-counter drugs or other substances •
             4.4   DISTURBANCES OF BEHAVIOR AND PERCEPTION
                                                                                      apraxia • arteriovenous malformations • astereognosia (tactile agnosia) •
             4.5   LIFE ADJUSTMENT AND STRESSORS                                      athetosis  • atrophy of extremity muscles • ballism (ballismus) • behavioral
             4.6   DISTURBANCES OF THE SPECIAL SENSES                                 abnormalities, including avoidance, dependency, and obsessive-compulsive
                                                                                      disorder • bipolar and related disorders • brain tumors, including sellar/pituitary
             4.7   HEADACHE
                                                                                      masses, neoplasms, and metastatic tumors; paraneoplastic syndromes •
             4.8   SPEECH AND LANGUAGE DISTURBANCES
                                                                                      cerebral concussion/mild traumatic brain injury • cerebral palsy • cerebral
             4.9   MOVEMENT DISTURBANCES                                              vascular disorders, including aneurysms and vasculitis (eg, temporal arteritis) •

             4.10  SEIZURES                                                           cerebrospinal fluid abnormalities • chalazion • chronic fatigue syndrome,
                                                                                      fibromyalgia • cognitive impairments, including altered level of consciousness,
             4.11  SENSORY DISTURBANCES AND PAIN
                                                                                      mild cognitive impairment, amnesia, coma, confusion, delirium, disorientation,
             4.12  SLEEP DISTURBANCES
                                                                                      subcortical and cortical dementia (eg, Alzheimer disease, Huntington disease,
             4.13  SUBSTANCE ABUSE
                                                                                      Parkinson disease) • cogwheel rigidity • cyclothymic disorder • depressive
             4.14  NERVOUS SYSTEM TRAUMA                                              disorders • disruptive behaviors, including attention deficit/hyperactivity disorder,
                                                                                      pediatric anxiety (eg, disruptive mood dysregulation disorder, selective mutism,
             4.15  WEAKNESS AND PARALYSIS
                                                                                      separation anxiety) • dizziness and true vertigo, including peripheral or central
             4.16  PHYSICAL EXAM FINDINGS RELATED TO THE NERVOUS
                 SYSTEM AND MENTAL HEALTH                                             vestibular dysfunction, benign paroxysmal positional vertigo, labyrinthitis, Meniere
                                                                                      disease) • dysautonomias • dyskinesias • dystonias • ear and hearing
             4.17  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE NERVOUS SYSTEM AND MENTAL HEALTH                      disorders, including acoustic neuroma and other neoplasms; conductive,
                                                                                      sensorineural, or neurogenic hearing loss; presbycusis; otosclerosis; ototoxic
                                                                                      drugs; Meniere disease •                                        


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 4    PAGE 40
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