Date of commencement of medical investigation: Date of completion of medical investigation: SCREENING FOR MENTAL ILLNESS Mental State Examination General appearance and behaviour: Gait incoordination, abusiveness, dressing pattern, smell of alcohol from the body or during conversation Psychomotor activity: Increased or decreased Speech: Coherence/relevance Affect: Irritable, depressed thought: Presence of any delusions, ideas of hopelessness, helplessness, worthlessness, suicidal ideation and risk Perception: Visual/auditory hallucinations Orientation: Disorientation to time/place/person in alcohol withdrawal delirium Attention and concentration, memory, intelligence, abstraction Judgmentintact/impaired Insight Level of motivation. SCREENING FOR HIV/TB if response to any of the below is yes, then initiate HIV screening blood test after consent and for TB initiate sptum for AFB and chest x-ray. 1. 2. 3. 4. 5. 6. 7. 8. H/O Drug abuse Injection marks Involved in sexual violence as per record Presence of tattoo If underweight Chronic cough/fever/night sweats >2 weeks Any non-healing wound H/O Blood transfusion MEDICAL DIMENSION OF FREQUENTLY ENCOUNTERED CASES | 72 Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No Yes/No

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