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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:


                                                                                      eating and feeding disorders (eg, anorexia nervosa, bulimia nervosa, pica, binge-
             4.1   ANXIETY                                                            eating) • elimination disorders (eg, enuresis, encopresis) • encephalopathies
             4.2   DISTURBANCES OF MOOD/DEPRESSIVE DISORDERS                          (eg, Reye Syndrome, Wernicke-Korsakoff encephalopathy, shock) • epidural
                                                                                      hematoma • eye  and vision disorders, including discharge, pain, lacrimal drainage,
             4.3   COGNITIVE DISTURBANCES
                                                                                      blepharitis, iritis, subconjunctival hemorrhage, hordeolum, floaters, cataracts,
             4.4   DISTURBANCES OF BEHAVIOR AND PERCEPTION
                                                                                      glaucoma, red eye(s), eye trauma (eg, orbital floor fracture), diplopia, amblyopia,
             4.5   LIFE ADJUSTMENT AND STRESSORS                                      nystagmus, strabismus, refractive error, ptosis, optical migraine, photophobia,
             4.6   DISTURBANCES OF THE SPECIAL SENSES                                 blurred vision (eg, acute narrow-angle glaucoma), unilateral and bilateral vision loss,
                                                                                      acute vision loss (eg, amaurosis fugax [temporary blindness]) • fasciculation •
             4.7   HEADACHE
                                                                                      gambling disorder • gender dysphoria • grieving and normal bereavement •
             4.8   SPEECH AND LANGUAGE DISTURBANCES
                                                                                      head and spinal cord injury • headache (acute and chronic), including cluster,
             4.9   MOVEMENT DISTURBANCES                                              migraine, tension; episodic and constant; unilateral and bilateral; primary and

             4.10  SEIZURES                                                           secondary, with and without red flag symptoms (eg, aura); trigeminal autonomic
                                                                                      cephalalgia; headache attributed to a substance or its withdrawal; headache from
             4.11  SENSORY DISTURBANCES AND PAIN
                                                                                      trauma/traumatic brain injury • hoarding disorder • Huntington disease •
             4.12  SLEEP DISTURBANCES
                                                                                      hypomania • infantile and pediatric seizures and spells • infections (eg, systemic,
             4.13  SUBSTANCE ABUSE
                                                                                      central nervous system, sinusitis, encephalitis, meningitis) • learning disorders •
             4.14  NERVOUS SYSTEM TRAUMA                                              malingering • mood disorders, including depressed mood, elevated mood,
                                                                                      elevated mood with or without depressed mood, mania, cyclothymia • mouth
             4.15  WEAKNESS AND PARALYSIS
                                                                                      and jaw disorders, including taste disorders, mastication pain • movement
             4.16  PHYSICAL EXAM FINDINGS RELATED TO THE NERVOUS
                 SYSTEM AND MENTAL HEALTH                                             disorders, including voluntary and involuntary abnormal movements, such as
                                                                                      cerebellar and sensory ataxias, chorea, and other hyperkinetic (eg, Tourette
             4.17  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE NERVOUS SYSTEM AND MENTAL HEALTH                      syndrome) and bradykinetic (eg, Parkinson disease) disorders and diseases •
                                                                                      myoclonus • nerve-, muscle-, and pain-related syndromes, including complex
                                                                                      regional pain syndrome, post-herpetic neuralgia, meralgia paresthetica,   


        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 4     PAGE 41
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