Anxiety physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
The diagnosis of anxiety is mostly clinical, based on a thorough history and physical exam. Some of the physical exam findings in anxiety are tremor,tachycardia, twitches, sweating, restlessness.
Physical examination
- The following are the some of the physical examination findings associated with anxiety disorders:[1]
Physical examination findings | |
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General appearance | Sweating, restlessness |
HEENT | bruxism |
Heart | Tachycardia |
Extremities | Tremors |
Muskuloskeletal | Twitches |
Mental status examination
A complete mental status examination should be obtained for each patient with anxiety symptoms, assessing appearance, behavior, ability to cooperate with the exam, level of activity, speech, mood and affect, thought processes and content, insight, and judgment. Patients are generally oriented times 3 and cooperative. Mood may be normal or depressed. Affect is often normal. Psychotic symptoms are not typical of uncomplicated anxiety disorders. Suicidal ideation should be assessed by asking about passive thoughts of death,thoughts of harming self, or plans or acts to harm self. Homicidal ideation is uncommon. No impairment in memory, language, or speech. Insight and judgment are usually intact.
References
- ↑ de Alencar NA, Leão CS, Leão A, Luiz RR, Fonseca-Gonçalves A, Maia LC (2017). "Sleep Bruxism and Anxiety Impacts in Quality of Life Related to Oral Health of Brazilian Children and their Families". J Clin Pediatr Dent. 41 (3): 179–185. doi:10.17796/1053-4628-41.3.179. PMID 28422599. Vancouver style error: initials (help)
- ↑ Palacios-Ceña M, Castaldo M, Wang K, Catena A, Torelli P, Arendt-Nielsen L, Fernández-de-Las-Peñas C (2017). "Relationship of active trigger points with related disability and anxiety in people with tension-type headache". Medicine (Baltimore). 96 (13): e6548. doi:10.1097/MD.0000000000006548. PMC 5380302. PMID 28353618.