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The psychiatric physical examination - Part I: methodology

W K Summers, R A Munoz, M R Read

    The Journal of Clinical Psychiatry
    |March 1, 1981
    PubMed
    Summary
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    Psychiatric patients frequently have medical issues, yet physical exams are rare. A new rapid physical exam method for psychiatric patients takes ~17 minutes and identifies numerous previously unknown medical findings.

    Area of Science:

    • Medical Sciences
    • Psychiatry
    • Clinical Medicine

    Background:

    • Medical comorbidities are prevalent in psychiatric patients.
    • Routine physical examinations are infrequently performed by psychiatrists.
    • This gap in care may lead to undiagnosed medical conditions.

    Purpose of the Study:

    • To introduce a novel, rapid physical examination protocol tailored for psychiatric patients.
    • To assess the feasibility and yield of this specialized examination.
    • To address the underdiagnosis of medical conditions in this population.

    Main Methods:

    • A specific protocol for rapid physical examination was developed.
    • The method was tested on 75 psychiatric patients.
    • Data collected included examination duration and identified physical findings.

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    Main Results:

    • The average examination time was 16.9 minutes.
    • An average of 8.2 physical findings were identified per patient.
    • Approximately 5.3 previously unknown physical findings were noted per patient.
    • No negative transference or countertransference issues were observed.

    Conclusions:

    • A rapid physical examination is a practical and effective tool for identifying medical issues in psychiatric patients.
    • This method can be performed by individuals with medical student-level competency.
    • Implementing such exams can improve the comprehensive care of individuals with mental health conditions.