Abbreviated Mental Test (AMT) questions
September 4, 2013- What is your age?
- What is your date of birth?
- What year is it?
- What is this place?
Mental State Examination
September 3, 2013
ASEPTIC
- Appearance / Behaviour
- Speech
- Emotion (mood and affect)
- Perception (hallucinations, illusions)
- Though (content, form)
- Insight
- Cognition (AMT, MMSE)
Schizophrenia types
May 27, 2012Crazy People Hear Something- Catatonic – unresponsive, fixed stupor
- Paranoid – often delusional, angry, jealous
- Hebephrenic – disintegration of personality, erratic speach
- Simple - disintegration of thinking process
Substance dependency features
February 16, 2012
THWART- Tolerance
- Harm being done to body, patient realises but persists
- Withdrawal symptoms
- Anhedonia in other activities not involving substance
- Relapse despite repeated attempts to abstain
- Time is spent obtaining substance or abusing it
Suicide risk assessment
February 13, 2012SAD PERSONS- Sex – male
- Age – older
- Depression
- Previous suicide attempt
- Ethanol abuse
- Rational thinking loss
- Social support lacking
- Organised plan
- No spouse
- Sickness e.g. chronic disability
One point for each. Score calculated and suicide risk graded:- 0-4 – low risk
- 5-6 – medium risk
- 7-10 – high risk
Antipsychotic extrapyramidal side-effects
February 7, 2012
May be seen with antipsychotic use (particularly typicals) and are due to blockage of D2 receptors in the mesolimbic dopamine pathway.TAAP- Tradive dyskinesia – involuntary rhythmic movements
- Acute dystonia (e.g. oculogyric crisis)
- Akathisia (motor restlessness)
- Parkinsonism
Alcohol dependence history
January 6, 2012
THAWED- Tolerance – needing increasing amounts of alcohol
- Harm being done to body – patient realises but does not react
- Anhedonia (lack of interest) in activities not related to alcohol
- Withdrawal symptoms (fatigue, tremor, agitation, delirium tremens)
- Explosive drinking – uncontrollable
- Desire to drink is overwhelming
