Decreased Concentration
Age: years old
Gender:
HISTORY:
Presents with a - history of decreased concentration
Described as
Severity is
Negative impact on
Concentration difficulties are
Recent source of stress: , ,
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: , , , , ,
no use of: , ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Neurologic: cranial nerves , strength , sensation , reflexes , cerebellar function , gait
Mental status: , , speech , mood , thought , , judgment
ASSESSMENT:
DDx: ADHD, adjustment disorder, major depressive disorder, anxiety disorders, insomnia, sleep apnea, substance use disorders, neurocognitive disorders, Alzheimer's disease, thyroid disease, anemia, chronic illness, medication side effect, electrolyte imbalance, nutritional deficiencies, chronic pain syndrome, head trauma, brain tumors, post-traumatic stress disorder, chronic fatigue syndrome, fibromyalgia, pregnancy, long Covid
PLAN:
Investigations:
- ADHD auto-questionnaire
- Mini-mental state exam
- Blood work: , , , , ,
- CT scan of the brain
- MRI of the brain
- Sleep study
Treatments:
- Lifestyle modifications: , , ,
-
-
- Discontinuation of medications that may cause decreased concentration (antidepressants, sedatives)
- Avoidance of alcohol and recreational drugs
- Cognitive behavioral therapy
- Occupational therapy for cognitive assessment
Further care:
- Referral to psychologist
- Referral to psychiatrist
- Follow-up in
- Return if concentration does not improve or if new symptoms develop such as memory loss, confusion, or difficulty with daily activities
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: