MSE Flashcards
Content in MSE
- General Appearance & Behaviour
- Appearance
- Attitude towards examiner
- Gait & Posture
- Motor Activity
- Social Manner
- Rapport - Speech
- Rate & Quantity
- Volume & Tone
- Flow & Rhythm - Mood & Affect
- Thought
- Stream & Form
- Content - Perception
- Cognition
- Consciousness
- Orientation
- Attention
- Concentration
- Memory
- Intelligence
- Abstract Thinking - Insight
- Judgement
Neurotic
Judgement, Insight, Personality, Reality Contact intact
Psychotic
Judgement, Insight, Personality, Reality Contact absent/impaired
Asthenic built (thin, tall)
Schizophrenia
Pyknic built (obese)
Bipolar/Mood disorders
Rapport difficult
In guarded patient -> paranoia/suspicion
ETEC -> downcast
Depression
ETEC -> avoidance
Social anxiety
ETEC -> Poor
Autism spectrum disorder
Increase in psychomotor activity
Mania, delirium, anxiety
Decrease in psychomotor activity
Depression, Catatonia
Disinhibited, fast speech
Mania
Monotonous, low volume
Depression
Mood range -> flattening/blunting
Schizophrenia
Mood range restricted
Depression
Affect inappropriate (thought & mood incongruent)
Schizophrenia/psychosis
Thought form disorder/formal thought disorder/disorganized thinking/loss of association
Dysynchrony btwn prefrontal/frontal cortex
- word salad/verbigeration
- neologism -> coining of words
- derailment/tangentiality -> slow deviation from topic
- circumstantiality -> addition of unnecessary details
*C/F all seen in schizophrenia
Thought stream disorder
Disorder of flow/continuity of thought
- retardation of stream depression
- thought block schizophrenia, extreme anxiety
- pressurized speech, rhyming, flight of ideas mania
- ordered flight of ideas hypomania
Thought content disorder
Delusion -> false, fixed belief
Otthelo syndrome
Delusion of infidelity: Belief that a spouse is unfaithful despite no evidence to confirm it
Seen in chronic alcoholics
Magnan syndrome
Delusion of persecution + tactile hallucination: False belief that others intend to harm them + false feeling of touch/movement on body (bugs)
Seen in psychosis
Chlerambault syndrome
Delusion of love: False belief that someone is in love with them (often someone of higher social status)
Cotard syndrome
Nihilistic Delusion: False belief of being dead, decomposed or annihilated (having lost ones own internal organs)
Ekbom syndrome
False belief of parasite in body
Matchbox sign -> brings a box to doctor which is empty
Capgras syndrome (delusion of misidentification -ve)
Known person believed to be a stranger
Fregoli syndrome (Delusion of misidentification +ve)
Stranger believed to be a persecutor
Thought possession disorder
Loss of ego boundary - seen in schizophrenia
Thought insertion
Belief that their thoughts are being inserted by others
Thought withdrawal
Belief that their thoughts are being taken away by others
Thought broadcast
Belief that their thoughts are being broadcasted to everyone
Auditory hallucination seen in
Schizophrenia
Visual hallucination seen in
Lewy body dementia
Tactile hallucination
Cocaine intoxication
Olfactory hallucination
Temporal lobe epilepsy
True hallucination
Originates from outer objective space
Pseudo-hallucination
Originates from inner objective space
Functional hallucination
Stimulus & hallucination of same modality
E.g another voice heard when someone speaks
Reflex hallucination
Stimulus & hallucination of different modality
E.g voice heard on turning light on
Extracampine hallucination
Beyond sensory field
