Mental Status Examination

Allanigue, Almendral, Alvarez, Arenas, Bagacay, Barican

SBC-2015

College of Medicine JULIUS' Notes ! Interview Technique is everything! Outline of Mental Status Examination I. General Behavior Normal__ Agitated__HyperAct__Quiet__Immobile___ Notes: Stream of Talk Speech: Incessant__Pressured__ Pressured__ (LACK of Prosody/Spontaneity)__ Mood and Affective Responses (Emotionally labile, euphoric, agitated) *Belle's indifference -lack of concern in the face of disability Affective lability- on-off laughing and crying, iiyak tatawa bigla. Mostly UMN-Bilateral UMN disease.

II.

III.

IV.

Content of Thought (illusions, Hallucinations, Delusions) Illusions - misinterpretation of external stimuli Hallucinations-perception experienced without external stimuli (delirium tremens and schizophrenia) Location of lesion Occipital cortex Uncus Postcentral gyrus Type of Hallucination Vision Smell Somatosensory

Delusions- firmly held belief not altered by rational argument ( grandiose and hypochondriac) V. VI. Intellectual Capacity (Bright, average, dull or demented) Sensorium (Awareness needing external and internal contingencies) 1.Consciousness 2. Attention Span ( Month or World spelled backwards ) 3. Orientation for time, place and person 4. Memory ( recent) [provide with an address, color and object] 5. Fund of information [ask his/her opinion with the current events] 6. Insight, Judgment and Planning 7. Calculation ( Subtracts 7s from 100)