heMentalStatusExamination(MSE)-PalmerCollegeof精神状态检查(MSE)-帕大学VIP专享VIP免费

TheMentalStatusExamination(MSE)第一页，共三十七页。MentalStatusMentalstatusisthetotalexpressionofaperson’semotionalresponses,mood,cognitivefunction,andpersonalityItiscloselylinkedtotheindividual’sexecutivefunctioning,i.e.motivation,initiative,goalformation,planningandperforming,self-monitoring,andintegrationoffeedback第二页，共三十七页。QuickNeurologyReviewFrontallobeSpeechformation(Brocaarea)Emotions/affectDriveAwarenessofselfShort-termmemoryGoal-orientedbehavior第三页，共三十七页。QuickNeurologyReviewParietallobeSensoryperceptionSpatialsenseandnavigation第四页，共三十七页。QuickNeurologyReviewTemporallobePerceptionandinterpretationofsoundsWernicke’sareaIntegrationofbehavior,emotion,andpersonalityLong-termmemory第五页，共三十七页。QuickNeurologyReviewLimbicsystemSurvivalbehaviors(mating,aggression,fear,affection)Reactionstoemotions,andexpressionofaffectismediatedbyconnectionsofthelimbicsystemandthefrontallobe第六页，共三十七页。DementiaDementiaisaclinicalsyndrome,characterizedbydeterioratingcognition,behavior,andfunctionalindependenceItisusuallyrelatedtoobviousstructuraldiseaseofthebrain(mostcommonlyatrophy)Dementiaaffects3-11%ofadultsolderthan65第七页，共三十七页。MnemonicforcausesofdementiaD:drugsandtoxinsE:endocrineM:metabolicandmechanicalE:epilepsyN:nutritionalandnervoussystemT:tumorandtraumaI:infectionA:arterial第八页，共三十七页。DeliriumDeliriumisdifferentthandementiaItisanacuteconfusionalstateaccompaniedbyadisorderofperceptionSymptomsincludealterationsinmentalstatus(disorientation),attentionspan,sleeppatterns,andaffectSuddenandfluctuatingUsuallyreversible第九页，共三十七页。MentalStatusExaminationTheMSEisonecomponentofanexamandmaybeviewedasthepsychologicalequivalentofthephysicalexamItisanimportantcomponenttoaneurologicalevaluation第十页，共三十七页。FactorsaffectingtheMSECultureandeducationalbackgroundofthepatientWhatisabnormalforapersonwithhighintellectualabilitymaybenormalforapersonoflesseducationPatientswithESLmayhavedifficultywithsomecomponentsoftheexam第十一页，共三十七页。MajorComponentsoftheMSE1.Appearance2.Motor3.Speech4.Affect&mood5.ThoughtContent6.ThoughtProcess7.Perception8.Intellect9.Insight第十二页，共三十七页。AppearanceAgeGenderRaceBodybuildPostureEyecontactDressGroomingMannerAttentivenesstoexaminerEmotionalfacialexpressionAlertness第十三页，共三十七页。MotorBehavior:Pleasant?Cooperative?Appropriatefortheparticularsituation?HesitancyAgitationAbnormalmovementsGaitCatatonia第十四页，共三十七页。SpeechRateRhythmVolumeAmountArticulationSpontaneity第十五页，共三十七页。AffectandMoodAffect:Howdotheyappeartoyou?StabilityRangeAppropriatenessIntensityMood:Dr.asksthepatientdirectlyhowhe/shefeels第十六页，共三十七页。ThoughtContentSuicidalideationDeathwishesHomicidalideationDepressivecognitionObsessionsRuminationsPhobiasParanoidideationMagicalideationDelusionsOvervaluedideasDescriptionofwhatthepatientisthinkingabout第十七页，共三十七页。ThoughtProcessAssociationsCoherenceLogicStreamClangassociationsPerseverationNeologismThoughtblockingAttentionDescriptionofthewayinwhichthepatientthinks第十八页，共三十七页。PerceptionHallucinationsIllusionsDepersonalizationDerealizatio...