MSE – a generic comment about behaviour may be most useful over the phone. For example: is the patient withdrawn/interactive/cooperative/uncooperative/aggressive/confused/threatening staff/needing to be specialled (one-on-one nursing care), brief cognitive assessment to screen for delirium (orientation to person, place and time, patient able to recite months of the year backwards).
Investigations where relevant:
Urine drug screen and urinalysis.
ECG: Psychotropic agents may prolong QT interval and lead to ventricular arrhythmias.
EUC: check for hyponatraemia caused by SSRI or renal injury.
FBC to check WCC or CRP if delirium suspected.
Serum levels for medication such as lithium, sodium valproate, clozapine.
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