TheMentalStatusExamination(MSE)第一页,共三十七页。第二页,共三十七页。FrontallobeSpeechformation(Brocaarea)第三页,共三十七页。Parietallobe第四页,共三十七页。Temporallobe第五页,共三十七页。Limbicsystem第六页,共三十七页。Dementiaisaclinicalsyndrome,characterizedbydeterioratingcognition,behavior,andfunctionalindependenceItisusuallyrelatedtoobviousstructuraldiseaseofthebrain(mostcommonlyatrophy)Dementiaaffects3-11%ofadultsolderthan65第七页,共三十七页。D:drugsandtoxinsE:endocrineM:metabolicandmechanicalE:epilepsyN:nutritionalandnervoussystemT:tumorandtraumaI:infectionA:arterial第八页,共三十七页。DeliriumisdifferentthandementiaItisanacuteconfusionalstateaccompaniedbyadisorderofperception第九页,共三十七页。TheMSEisonecomponentofanexamandmaybeviewedasthepsychologicalequivalentofthephysicalexamItisanimportantcomponenttoaneurologicalevaluation第十页,共三十七页。第十一页,共三十七页。第十二页,共三十七页。AgeGenderRaceBodybuildPostureEyecontactDressGroomingMannerAttentivenesstoexaminerEmotionalfacialexpressionAlertness第十三页,共三十七页。HesitancyAgitationAbnormalmovementsGaitCatatonia第十四页,共三十七页。RateRhythmVolumeAmountArticulationSpontaneity第十五页,共三十七页。Affect:Howdotheyappeartoyou?StabilityRangeAppropriatenessIntensityMood:Dr.asksthepatientdirectlyhowhe/shefeels第十六页,共三十七页。SuicidalideationDeathwishesHomicidalideationDepressivecognitionObsessionsRuminationsPhobiasParanoidideationMagicalideationDelusionsOvervaluedideasDescriptionofwhatthepatientisthinkingabout第十七页,共三十七页。AssociationsCoherenceLogicStreamClangassociationsPerseverationNeologismThoughtblockingAttentionDescriptionofthewayinwhichthepatientthinks第十八页,共三十七页。HallucinationsIllusionsDepersonalizationDerealizationdéjàvujamaisvu第十九页,共三十七页。Globalimpression:average,aboveaverage,belowaverage第二十页,共三...