General psychiatric approach

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Background

Clinical Features

Mental Status Exam

  • General Appearance
  • Orientation and Attention
  • Speech
  • Mood and affect
  • Thought Patterns (process, content)
  • Psychomotor behavior
  • Insight and Judgement

Differential Diagnosis

General Psychiatric

Evaluation

General ED Psychiatric Workup

Evaluation

ACEP Guidelines 2005

  • Class B recommendations
  • Routine laboratory testing is of low yield and unneccesary
  • Routine urine toxicology need not be performed
  • Pending results should not delay transfer or evaluation
  • Patient’s cognitive abilities, rather than specific blood alcohol level, should dictate initiation of psychiatry evaluation

Management

General ED Psychiatric Management

Disposition

See Also

External Links

References