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The Mental Status Exam (MSE) Appearance: How does the patient look? ... Level of alertness: Is the patient conscious? ... Speech: Is it normal in tone, volume and quantity? Behavior: Pleasant? ... Awareness of environment, also referred to as orientation: Do they know where they are and what they are doing here?
It includes descriptions of the patient's appearance and general behavior, level of consciousness and attentiveness, motor and speech activity, mood and affect, thought and perception, attitude and insight, the reaction evoked in the examiner, and, finally, higher cognitive abilities.
Descriptors of a patient's level of consciousness include alert, clouded, somnolent, lethargic, and comatose. Elements of a patient's cognitive status include attention, concentration, and memory.
The MSE can be divided into the following major categories: (1) General Appearance, (2) Emotions, (3) Thoughts, (4) Cognition, (5) Judgment and Insight.
Key principles in the approach to MSE: Write down the patient's words and the order in which they are expressed verbatim. This should avoid misinterpretation. Take into account the patient's age, culture, ethnicity, language and level of premorbid functioning.
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The MSE is composed of the following components: Appearance and behavior. Sensorium and cognition. Mood and affect. Speech. Thought process. Thought content. Perceptual disturbances. Insight and judgment.
The mnemonic ASEPTIC can be used to remember the components of the Mental Status Examination. A - Appearance/Behaviour. S - Speech. E - Emotion (Mood and Affect) P - Perception (Auditory/Visual Hallucinations) T - Thought Content (Suicidal/Homicidal Ideation) and Process. I - Insight and Judgement. C - Cognition.
Although a full mental status examination may not be required, you must be aware of the 4 main headings of the assessment while performing the interview and physical examination. These headings are: D. Appearance, behavior, cognition, and thought process.
Examination of Mental Status. The mental status examination is an assessment of current mental capacity through evaluation of general appearance, behavior, any unusual or bizarre beliefs and perceptions (eg, delusions, hallucinations), mood, and all aspects of cognition (eg, attention, orientation, memory).
Structured Examination of Cognitive Abilities Attention. The testing of attention is a more refined consideration of the state of wakefulness than level of consciousness. ... Language. ... Memory. ... Constructional Ability and Praxis.

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