{"id":1474,"date":"2010-12-05T16:16:30","date_gmt":"2010-12-05T16:16:30","guid":{"rendered":"https:\/\/cloverock.info\/mockosce23\/new\/external-characteristics\/"},"modified":"2023-11-02T17:03:43","modified_gmt":"2023-11-02T17:03:43","slug":"external-characteristics","status":"publish","type":"post","link":"https:\/\/www.qpercom.com\/sim\/index.php\/the-psychiatric-interview\/characteristics-of-the-mental-status-examination\/external-characteristics\/","title":{"rendered":"External Characteristics"},"content":{"rendered":"<hr \/>\n<p><span style=\"color: #33cccc;\"><strong><em>Personal Grooming And Hygiene<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\"><span style=\"color: #33cccc;\"><strong>Self-neglect<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>impaired care<\/strong><\/span> are indicative of a <span style=\"text-decoration: underline;\">depressive disorder<\/span>, <span style=\"text-decoration: underline;\">alcohol dependence<\/span>, <span style=\"text-decoration: underline;\">substance abuse<\/span>, or negative symptoms associated with <span style=\"text-decoration: underline;\">schizophrenia<\/span>. Impaired self-neglect in someone with <span style=\"color: #33cccc;\"><strong>dementia<\/strong><\/span> may indicate <span style=\"text-decoration: underline;\">apraxia<\/span> or <span style=\"text-decoration: underline;\">loss of decorum<\/span>, resulting from <span style=\"text-decoration: underline;\">frontal-temporal dementia<\/span>. An <span style=\"color: #33cccc;\"><strong>overly clean appearance<\/strong><\/span> (<em>dry, red hands<\/em>) may indicate repetitive behaviours matching an obsessive-compulsive disorder. <span style=\"color: #33cccc;\"><strong>Excessive<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>bizarre<\/strong><\/span> clothes\/make-up may be indicative of a <span style=\"text-decoration: underline;\">mania<\/span> or a <span style=\"text-decoration: underline;\">schizophrenic disorder<\/span>, in which the excessiveness has acquired a special <span style=\"text-decoration: underline;\">symbolic\/protective significance<\/span> for the patient.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #33cccc;\"><strong><em>Age<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">A striking difference between <span style=\"color: #33cccc;\"><strong>apparent age<\/strong><\/span> and <span style=\"color: #33cccc;\"><strong>chronological age<\/strong><\/span> may be indicative of a <span style=\"text-decoration: underline;\">dementia syndrome<\/span>, <span style=\"text-decoration: underline;\">depressive disorder<\/span>, <span style=\"text-decoration: underline;\">alcohol dependence<\/span>, <span style=\"text-decoration: underline;\">substance abuse<\/span>, <span style=\"text-decoration: underline;\">chronic stress\/strain<\/span> or a <span style=\"text-decoration: underline;\">physical condition<\/span>. However, people with <span style=\"color: #33cccc;\"><strong>intellectual disabilities<\/strong><\/span> often look <span style=\"text-decoration: underline;\">younger<\/span> than their chronological age.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #33cccc;\"><strong><em>Weight<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">If a patient is remarkably <span style=\"color: #33cccc;\"><strong>underweight<\/strong><\/span>, it may be indicative of <span style=\"text-decoration: underline;\">anorexia nervosa<\/span>, <span style=\"text-decoration: underline;\">alcoholism<\/span>, <span style=\"text-decoration: underline;\">substance abuse<\/span>, <span style=\"text-decoration: underline;\">cancer<\/span>, <span style=\"text-decoration: underline;\">hyperthyroidism<\/span> or <span style=\"text-decoration: underline;\">diabetes mellitus<\/span>. Conversely, if a patient is <span style=\"color: #33cccc;\"><strong>overweight<\/strong><\/span>, it may be indicative of <span style=\"text-decoration: underline;\">poor diet<\/span>, <span style=\"text-decoration: underline;\">lack of exercise<\/span> or a side-effect of <span style=\"text-decoration: underline;\">medication<\/span>, including <span style=\"text-decoration: underline;\">psychotropic drugs<\/span>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p><span style=\"color: #33cccc;\"><strong><em>Skin And Limbs<\/em><\/strong><\/span><\/p>\n<ul>\n<li><span style=\"color: #003366;\">Puncture holes for jewellery, tattoos, scars resulting from <span style=\"color: #33cccc;\"><strong>self-mutilation<\/strong><\/span> or <span style=\"color: #33cccc;\"><strong>amputated limbs<\/strong><\/span> are features suggestive of <span style=\"text-decoration: underline;\">dissociation<\/span> or <span style=\"text-decoration: underline;\">self-mutilating behaviour<\/span>, matching a <span style=\"text-decoration: underline;\">borderline personality disorder\/psychotic disorder<\/span>.<\/span><\/li>\n<\/ul>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Personal Grooming And Hygiene Self-neglect or impaired care are indicative of a depressive disorder, alcohol dependence, substance abuse, or negative symptoms associated with schizophrenia. Impaired self-neglect in someone with dementia may indicate apraxia or loss of decorum, resulting from frontal-temporal dementia. An overly clean appearance (dry, red hands) may indicate repetitive behaviours matching an obsessive-compulsive [&hellip;]<\/p>\n","protected":false},"author":83,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[87],"tags":[150],"class_list":["post-1474","post","type-post","status-publish","format-standard","hentry","category-characteristics-of-the-mental-status-examination","tag-the-psychiatric-interview"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>External Characteristics - Qpercom | Skills in Medicine<\/title>\n<meta name=\"description\" content=\"Online Mock OSCEs with examiners, patient actors, instant results and personalised feedback. 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