The Rational Clinical Examination
David L. Simel, Drummond Rennie
Depression
John W. Williams Jr, Polly Hitchcock Noël, Jeffrey A. Cordes, Gilbert Ramirez, Michael Pignone
Sections:
Clinical Scenario, Why Is This an Important Question to Answer With a Clinical Examination?, Defining Clinical Depression, How to Evaluate Patients for Clinical Depression, Criterion Standard Diagnosis, Methods, Results, Clinical Scenario—Resolution, References
Topics Discussed:
depressive disorder, major depressive disorder
Excerpt:
"Mr P is a 52-year-old small-business owner with a 5-year history
of controlled hypertension, for which he takes a thiazide diuretic.
Otherwise, he is in good health. He presents for routine follow-up
and notes a 1-month history of mild to moderate bitemporal headaches
and feeling fatigued. The headaches occur about twice a week and
are relieved by acetaminophen. He denies chest pain or dyspnea on
exertion. He notes wryly that the "new economy" has
left him feeling a bit "frazzled."..."
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