II. Labs

  1. First-line tests
    1. Complete Blood Count
    2. Comprehensive metabolic panel (Electrolytes, Glucose, liver and renal tests)
    3. Serum B12 Level
    4. Urine Toxicologic Screen
    5. Blood Alcohol
    6. Thyroid Stimulating Hormone (TSH)
  2. Other tests to consider
    1. Syphilis Serology (RPR, VDRL)
    2. HIV Test
    3. Erythrocyte Sedimentation Rate
    4. C-Reactive Protein
    5. Antinuclear Antibody test
    6. Free Urine Cortisol
    7. Urine copper
    8. Parathyroid Hormone

III. Imaging

  1. Head Imaging Indications (CT Head, MRI Brain)
    1. New, severe, refractory Headache
    2. Focal neurologic deficit
    3. Head Trauma

IV. References

  1. (2013) DSM V, American Psychiatric Association, p. 99
  2. Holder (2014) Am Fam Physician 90(11): 775-82 [PubMed]

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