Page 45 - Master Blueprint 2018 - 2019
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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:


                                                                                      increased muscle tone  • light reflex  • micro-aneurysms  • mini-mental status
             4.1   ANXIETY                                                            examination, ptosis  • nuchal rigidity, Kernig sign, Brudzinski sign deep tendon
                                                                                      (stretch) reflexes and grading  • papilledema, cotton wool spots  • plantar
             4.2   DISTURBANCES OF MOOD/DEPRESSIVE DISORDERS
                                                                                      (Babinski) reflex  • proliferative changes  • red reflex  • Romberg test  • slitlamp
             4.3   COGNITIVE DISTURBANCES
                                                                                      exam findings  • tuning-fork testing  • visual-acuity testing
             4.4   DISTURBANCES OF BEHAVIOR AND PERCEPTION
             4.5   LIFE ADJUSTMENT AND STRESSORS                                      LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
             4.6   DISTURBANCES OF THE SPECIAL SENSES                                 angiography  • cerebrospinal fluid evaluation  • computed tomography imaging
                                                                                      • electroencephalography patterns  • elevated serum creatine kinase  • lab
             4.7   HEADACHE
                                                                                      findings, vitamins (eg, B12 deficiency)  • magnetic resonance imaging  • nuclear
             4.8   SPEECH AND LANGUAGE DISTURBANCES
                                                                                      medicine imaging  • radiography  • sonography
             4.9   MOVEMENT DISTURBANCES
             4.10  SEIZURES
             4.11  SENSORY DISTURBANCES AND PAIN
             4.12  SLEEP DISTURBANCES

             4.13  SUBSTANCE ABUSE
             4.14  NERVOUS SYSTEM TRAUMA
             4.15  WEAKNESS AND PARALYSIS

             4.16  PHYSICAL EXAM FINDINGS RELATED TO THE NERVOUS
                 SYSTEM AND MENTAL HEALTH
             4.17  LABORATORY TEST FINDINGS AND DIAGNOSTIC IMAGING
                 RELATED TO THE NERVOUS SYSTEM AND MENTAL HEALTH






        COMLEX-USA MASTER BLUEPRINT                                                                DIMENSION 2     CLINICAL PRESENTATION 4    PAGE 44
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