Discharges at intervals; constant; profuse; color.
Internal examination.
In men: Frequency and character of the sexual functions. Frequency of emissions, their occasional exciting causes and correlated symptoms.
Diagnostic summary and indications for further observation and treatment.
MENTAL EXAMINATION
I. ATTITUDE AND MANNER:
General appearance of the patient, adaptation to surroundings, patient's general attitude and behavior, attention and cooperation. Note any peculiarities of conduct or demeanor (peculiarity of dress, mannerisms, grimacing, affectations, etc.). Note the manner, gestures, form of intonation, rapidity or slowness of speech, or special peculiarities. Facial and general expression (sadness, anxiety, fear, restlessness, excitement, etc.). Psychomotor retardation or excitement (violence, destructiveness), care of person (whether cleanly or untidy, etc.).
II. STREAM OF MENTAL ACTIVITY:
1. Flow of thought: Give sample of spontaneous expression or productivity, if possible. If not, give reaction to questioning. Show any disturbance of train of thought (retardation, confusion, incoherence, poverty of ideas, volubility, flight of ideas, distractibility, rhyming, desultoriness, circumstantiality, perseveration, fabrication, coinage of words, verbigeration, echolalia).
2. Abnormalities in the motor reactions: Negativism, catalepsy, echopraxia, stereotypy, automatism, mutism, etc. Show loss of initiative, lack of spontaneity or slowness in action, etc.