By vgreene, 4 October, 2020 Functional status. If elderly or hx of traumatic brain injury: Administer brief test for cognitive impairment. Assess for psychosis
By vgreene, 4 October, 2020 Lab testing. Perform as clinically indicated to r/o secondary causes of MDD: hypothyroidism, B-12 deficiency; syphilis, chronic dz; administer TSH, CBC, chemistry profile, pregnancy screen, toxicology panel as needed; give ↑consideration to lab tests
By vgreene, 4 October, 2020 Physical exam. Assess for neurological deficits; evidence of endocrine or other metabolic dz or systemic illness
By vgreene, 4 October, 2020 Refer to emergent/inpt care for stabilization; pts may or may not exhibit catatonic/psychotic/confusion/extreme negativism or mutism/peculiar movements/inappropriate or bizarre affect; perform diagnostic eval;VA
By vgreene, 4 October, 2020 Peer reviewed & based on multiple guidelines/recommendations from specialty societies/government agencies.
