Psychomotor retardation: associated with a paucity of movement and delayed responses to questions.Observe for any evidence of psychomotor abnormalities: Note any evidence of exaggerated gesticulation or unusual mannerisms. standing up close to you) or withdrawn (e.g. Observe the patientвЂ™s body language which may appear threatening (e.g. Observe the patientвЂ™s facial expression (e.g. Observe the patientвЂ™s level of eye contact and note if this appears reduced or excessive. replying to auditory hallucinations in schizophrenia). Note if they appear distracted or if they appear to be engaging with hallucinations (e.g. Note if the patient appears engaged in the consultation and if you are able to develop a rapport with them.

Objects: look around to see if the patient has brought any objects with them and note what they are.ДЄ patientвЂ™s behaviours may provide insights into their current mental state.Clothing: note if this is appropriate for the weather/circumstances and if the clothes have been put on correctly.Personal hygiene: this can provide insight into the patientвЂ™s current ability to care for themselves.Stigmata of disease: note any stigmata of disease (e.g.Weight: note if they appear significantly underweight or overweight.self-harm), tattoos and signs of intravenous drug use. Distinguishing features: these may include scars (e.g.Observe the patientвЂ™s general appearance: The appearance of the patient may provide some clues as to their lifestyle, current mental state and ability to care for themselves. You might also be interested in our OSCE Flashcard Collection which contains over 2000 flashcards that cover clinical examination, procedures, communication skills and data interpretation.

Tremulous affect