mental status exam Flashcards

1
Q

define the mental state examination

A

a structured way of observing and describing a patient’s current state of mind

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2
Q

benefits of MSE

A
  • supports us in eliciting symptoms and signs that aid diagnosis
  • important in both physical and psychiatric conditions
  • ensures consistency
  • allows monitoring overtime
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3
Q

components of the MSE

A
  • appearance and behaviour
  • cognition
  • speech
  • mood/affect
  • thought process/form
  • thought content
  • perception
  • suicide/homicide/self-care risk
  • insight/judgement
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4
Q

mood/affect: details

A
  • range of emotions expressed
  • depth of emotions expressed
  • appropriateness of emotions
  • volatility of mood expressed
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5
Q

explain insight/judgement

A
  • capacity to organise and understand problem, symptoms or illness, medication
  • insight (knowledge)
  • judgement (actions)
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6
Q

explain the component of perception

A
  • Hallucinations include auditory, visual, olfactory
  • illusions
  • depersonalisation
  • derealisation
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7
Q

explain thought content

A
  • thought insertion
  • thought withdrawal
  • thought broadcasting
  • phobia, obsessions, overvalued ideas
  • delusions
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8
Q

explain thought process/form

A
  • goal-directed, organised
  • amount or speed, flight of ideas, perservation
  • continuity of ideas, thought blocking
  • disturbance in language includes incoherence, word salad
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9
Q

explain the behaviour component

A
  • eye contact
  • cooperativeness
  • motor activity
  • abnormal movements
  • expressive gestures
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