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Mental Survey - DELIRIUM → disturbance of consciousness w...

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Mental Survey---PQRSTU P: Provocative or Palliative Q: Quality or Quantity R: Region or Radiation S: Severity Scale T: Timing U: Understand Patient’s Perception Elderly Mental Status Cognitive (organic disorders vs. Psychiatric (change in mental status without organic cause) *schizophrenia COMPONENTS OF THE MENTAL STATUS EXAMINATION- -------ABCT 1) Appearance posture body movements dress 2) Behavior level of consciousness facial expression speech 3) Cognition orientation attention span recent memory remote memory new learning---the 4 unrelated words test 4) Thought process thought content perceptions screen for suicidal thoughts LEVELS OF CONSCIOUSNESS 1) Alert 2) Lethargic (or Somnolent)-----not fully alert, drifts off to sleep when not stimulated
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3) Obtunded------sleeps most of the time, difficult to arouse 4) Stupor or Semi-Coma-------spontaneously unconscious, can respond to pain 5) Coma---------completely unconscious, no response to pain
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Unformatted text preview: DELIRIUM → disturbance of consciousness w/ reduced ability to focus, sustain, or shift attention. → a change in cognition or the development of a perceptual disturbance → the disturbance develops over a short period of time & flunctuates → may be due to a general medical condition (hypoglycemia) → may be substance-induced (HIGH) DEMENTIA development of multiple cognitive deficits memory impairment (required), and aphasia-----language disturbance apraxia-----impaired ability to carry out motor activities agnosia-----failure to recognize or identify objects FOUR TYPES OF EXAMINATIONS 1) _ 2) _ 3) _ 4) _ Inspection-Palpation-Percussion-TONSILS +1 = normal +2 = midway to uvula +3 = almost touching whole buccal (touching uvula) +4 = touching each other w/ tongue blade MOLES A- asymmetry of a pigmented lesion B- border irregularity C- color variation D- diameter greater than 6mm E- elevation and enlargement...
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Mental Survey - DELIRIUM → disturbance of consciousness w...

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