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Psychiatric and neurological symptoms and physical signs 

Psychiatric and neurological symptoms and physical signs
Psychiatric and neurological symptoms and physical signs

Huw Llewelyn

, Hock Aun Ang

, Keir Lewis

, and Anees Al-Abdullah

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date: 24 October 2017

Neurological and psychiatric symptoms and signs - Inability to carry out the activities of daily living - Acute anxiety - Depression - Delusions - Acute confusion - Chronic confusion or cognitive impairment - Headache—acute, new onset - Headache—subacute onset - Headache—chronic and recurrent - Stroke - Dizziness - Vertigo - ‘Fit’ - Transient neurological deficit - Fatigue, ‘tired all the time’ - Examining the nervous system - Disturbed consciousness - Best verbal response - Best motor response - Eye opening - Speech disturbance - Dysarthria - Absent sense of smell - Abnormal ophthalmoscopy appearance - Ophthalmoscopy appearance in the diabetic - Ophthalmoscopy appearances in the hypertensive - Sudden loss of central vision and acuity - Gradual onset of visual loss - Peripheral visual field defect - Ptosis - Large (mydriatic) pupil with no ptosis - Small (miotic) pupil with no ptosis - Squint and diplopia: ocular palsy - Loss of facial sensation - Jaw muscle weakness - Facial muscle weakness - Loss of hearing - Abnormal tongue, uvula, and pharyngeal movement - Multiple cranial nerve lesions - Odd posture of arms and hands at rest - Fine tremor of hands - Coarse tremor of hands - Wasting of some small muscles of hand - Wasting of arm and shoulder - Abnormalities of arm tone - Weakness around the shoulder and arm without pain - Incoordination (on rapid wrist rotation or hand tapping) - Muscle wasting - Weakness around one lower limb joint - Bilateral weakness of all foot movements - Spastic paraparesis - Hemiparesis (weakness of arm and leg) - Disturbed sensation in upper limb - Diminished sensation in arm dermatome - Diminished sensation in the hand - Disturbed sensation in lower limb - Brisk reflexes - Diminished reflexes - Gait abnormality - Difficulty in rising from chair or squatting position

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