2-5
of speech (rate, volume, pressured, etc.), assessment of thought process (rate and content), association
(loose, tangential, intact, etc.), abnormal or psychotic thoughts (hallucinations, delusions, suicidal or homicidal
ideation, etc.), and mood/affect (depression, anxiety, agitation, etc.). Other psychiatric components that may
be assessed as part of overall examination include orientation, memory, concentration, and attention span.
Lymphatic:
Evaluation may include palpation for enlarged nodes in the neck, axillae, and groin.
Integumentary:
Examination may include quantity, texture, and distribution of hair, as well as assessment of skin for rashes,
lesions, moles, birthmarks, and hyperhidrosis etc.
- Weed LL. Medical records that guide and teach. N Engl J Med. 1968;278:652-7.