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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:


                                                                                      compression or diabetic neuropathy, spinal stenosis, Guillain-Barré syndrome,
             4.1   ANXIETY                                                            multiple sclerosis, Bell palsy, myasthenia gravis • neurocognitive disorders •
             4.2   DISTURBANCES OF MOOD/DEPRESSIVE DISORDERS                          neurologic gait disorders (eg, hemiplegic gait, spastic diplegic gait, neuropathic
                                                                                      gait, myopathic gait, Parkinsonian gait, choreiform gait, ataxic [cerebellar] gait,
             4.3   COGNITIVE DISTURBANCES
                                                                                      sensory gait) • obsessive-compulsive and related disorders (eg, body dysmorphic
             4.4   DISTURBANCES OF BEHAVIOR AND PERCEPTION
                                                                                      disorder, trichotillomania, excoriation disorder) • olfactory disorders • pain,
             4.5   LIFE ADJUSTMENT AND STRESSORS                                      chronic nonmalignant • pain, neuropathic, nociceptive, mixed, sympathetic •
             4.6   DISTURBANCES OF THE SPECIAL SENSES                                 panic disorder, phobias (eg, specific phobias, agoraphobia), social anxiety
                                                                                      disorder • paraphilias • personality disorders (eg, paranoid, schizoid,
             4.7   HEADACHE
                                                                                      schizotypal, antisocial, histrionic, borderline, narcissistic) • postpartum
             4.8   SPEECH AND LANGUAGE DISTURBANCES
                                                                                      depression or psychosis • premenstrual dysphoric disorder, dissociative
             4.9   MOVEMENT DISTURBANCES                                              disorders • psychogenic and illicit, prescribed, or over-the-counter drug or

             4.10  SEIZURES                                                           substance-induced seizures • psychotic disorders, hallucinations, delusions, and
                                                                                      disturbances of perception • psychotic disorders, brief, including
             4.11  SENSORY DISTURBANCES AND PAIN
                                                                                      schizophreniform disorder, schizophrenia spectrum, and other psychotic disorders
             4.12  SLEEP DISTURBANCES
                                                                                      • psychotic disorders, specific, including delusional disorders; shared psychotic
             4.13  SUBSTANCE ABUSE
                                                                                      disorder; psychosis secondary to illicit, prescribed, and over-the-counter drugs
             4.14  NERVOUS SYSTEM TRAUMA                                              and substances; psychosis secondary to medical conditions • pupillary
                                                                                      abnormalities (eg, isocoria, anisocoria, mydriasis, miotic pupils) • relational
             4.15  WEAKNESS AND PARALYSIS
                                                                                      problems • resting tremors • seizures, atonic or convulsive, including epilepsies
             4.16  PHYSICAL EXAM FINDINGS RELATED TO THE NERVOUS
                 SYSTEM AND MENTAL HEALTH                                             and secondary seizures • seizures, including focal and generalized • sleep
                                                                                      disorders, including obstructive sleep apnea, somnambulism, insomnia, excessive
             4.17  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE NERVOUS SYSTEM AND MENTAL HEALTH                      daytime sleepiness, sleep-wake disorders, narcolepsy, night terrors, parasomnias
                                                                                      • somatic symptoms and related disorders (eg, conversion disorder, factitious
                                                                                      disorders, psychological factors affecting other conditions) •  


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 4    PAGE 42
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