title: Let's get physical: an audit of medical practice in first episode psychosis.
abstract: OBJECTIVE
  To assess aspects of medical examination, diagnosis and side-effect monitoring, and to consider the role of routine investigations in this group as recommended by national guidelines.
  
  
  METHODS
  A retrospective file audit was performed on young people presenting with first episode psychosis (n = 117) over 12 months of treatment contact.
  
  
  RESULTS
  Diagnoses were: first episode psychosis (43%), schizophrenia (16%), drug-induced psychosis (12%), affective psychosis (13%) and brief reactive psychosis (2%). Only four of the 52 (8%) subjects undergoing neuroimaging had any abnormality, with only two of these requiring referral. Three of the 33 (9%) electroencephalograms were obviously abnormal, but without epileptiform activity. There was little documentation of the assessment of involuntary movements (4% of sample) or weight (15% of sample).
  
  
  CONCLUSIONS
  The low rates of clinically important abnormal findings in computed tomography/magnetic resonance imaging and electroencephalogram re-open debate about the need for routine neuroimaging and electrophysiology in this population.
authors.affiliation: drdrm@mac.com
authors.forename: Diana
authors.initials: D
authors.lastname: McKay
authors.forename: Jo
authors.initials: J
authors.lastname: Gorrell
authors.forename: Alison
authors.initials: A
authors.lastname: Cornish
authors.forename: Chris
authors.initials: C
authors.lastname: Tennant
authors.forename: Alan
authors.initials: A
authors.lastname: Rosen
authors.forename: Beverley
authors.initials: B
authors.lastname: Moss
authors.forename: Louise
authors.initials: L
authors.lastname: Nash
mesh_terms: D000293:Adolescent; D000328:Adult; D014150:Antipsychotic Agents / Q000009:adverse effects* / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D003156:Community Mental Health Services; D003937:Diagnosis, Differential; D016903:Drug Monitoring; D004569:Electroencephalography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008485:Medical Audit; D009517:New South Wales; D010343:Patient Admission; D017410:Practice Guidelines as Topic; D011618:Psychotic Disorders / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D012307:Risk Factors; D014057:Tomography, X-Ray Computed
chemical_list: D014150:Antipsychotic Agents