Monday, May 20, 2013

Mental Status Examination

1) Appearance
+ Physical appearance - clothing, hygiene, posture, grooming
+ Behaviour - mannerism, tics, eye contact
+ Attitude - cooperative, hostile, guarded, seductive, apathetic

2) Speech
+ Rate - slow, average, rapid, pressured
+ Volume - soft, average, loud
+ Articulation - well articulated, lisp, stutter, mumbling
+ Tone - angry, pleading, etc

3) Mood

4) Affect
+ Quality - flat, blunted, constricted, full, intense
+ Motility - sluggish, supple, labile
+ Appropriateness

5) Thought process
+ loosening of associations
+ flight of ideas
+ neologisms
+ word salad
+ clang association
+ thought blocking
+ tangentiality
+ circumstantiality

6) Thought content
+ poverty of thought
+ overabundance
+ delusions
+ suicidal/ homicidal thoughts
+ phobias
+ obsessions
+ compulsions

7) Perception
+ hallucinations
+ illusions

8) Sensorium and cognition
+ conciousness - alert, drowsy, lethargic, stuporous, coma
+ orientation - place, person, time
+ calculation
+ memory - immediate, recent, recent past, remote
+ fund of knowledge
+ attention/ concentration
+ reading/ writing
+ abstract concepts

9) Insight

10) Judgement

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