heMentalStatusExamination(MSE)-PalmerCollegeof精神状态检查(MSE)-帕大学.pptxVIP免费

TheMentalStatusExamination(MSE)第一页，共三十七页。MentalStatusMentalstatusisthetotalexpressionofaperson’semotionalresponses,mood,cognitivefunction,andpersonalityItiscloselylinkedtotheindividual’sexecutivefunctioning,i.e.motivation,initiative,goalformation,planningandperforming,self-monitoring,andintegrationoffeedback第二页，共三十七页。QuickNeurologyReviewFrontallobeSpeechformation(Brocaarea)Emotions/affectDriveAwarenessofselfShort-termmemoryGoal-orientedbehavior第三页，共三十七页。QuickNeurologyReviewParietallobeSensoryperceptionSpatialsenseandnavigation第四页，共三十七页。QuickNeurologyReviewTemporallobePerceptionandinterpretationofsoundsWernicke’sareaIntegrationofbehavior,emotion,andpersonalityLong-termmemory第五页，共三十七页。QuickNeurologyReviewLimbicsystemSurvivalbehaviors(mating,aggression,fear,affection)Reactionstoemotions,andexpressionofaffectismediatedbyconnectionsofthelimbicsystemandthefrontallobe第六页，共三十七页。DementiaDementiaisaclinicalsyndrome,characterizedbydeterioratingcognition,behavior,andfunctionalindependenceItisusuallyrelatedtoobviousstructuraldiseaseofthebrain(mostcommonlyatrophy)Dementiaaffects3-11%ofadultsolderthan65第七页，共三十七页。MnemonicforcausesofdementiaD:drugsandtoxinsE:endocrineM:metabolicandmechanicalE:epilepsyN:nutritionalandnervoussystemT:tumorandtraumaI:infectionA:arterial第八页，共三十七页。DeliriumDeliriumisdifferentthandementiaItisanacuteconfusionalstateaccompaniedbyadisorderofperceptionSymptomsincludealterationsinmentalstatus(disorientation),attentionspan,sleeppatterns,andaffectSuddenandfluctuatingUsuallyreversible第九页，共三十七页。MentalStatusExaminationTheMSEisonecomponentofanexamandmaybeviewedasthepsychologicalequivalentofthephysicalexamItisanimportantcomponenttoaneurologicalevaluation第十页，共三十七页。FactorsaffectingtheMSECultureandeducationalbackgroundofthepatientWhatisabnormalforapersonwithhighintellectualabilitymaybenorm...