Mental Exam Class
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ScribdTranslationsMental Exam Class
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ScribdTranslationsMental Exam Class
Psychiatric Clinic I (University of Valle Colombia)
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MENTALEXAMINATION
PACO GOES A THOUSAND J/R P/I
1. PRESENTATION: General description of the physical characteristics
of the patient.
Physical appearance, grooming and personal hygiene
Take into account the patient's usual style and the
customs of the culture to which it belongs.
Evaluate whether the physical appearance is in accordance with the age
chronological.
2. ATTITUDE: It is known by evaluating facial and body expression.
type of verbal and visual contact and the patient's style for
interact with the interlocutor.
Attitude of interest: Firm body movements but
soft. The subject's expression shows interest in the
interlocutor. It is the attitude of a conversation between two.
people who are kind.
Attitude of perplexity: the person remains with a gaze
mom and loss, seems confused, seems like it wouldn't happen
account of what happens, gets distracted easily, interest
scarce due to the environment. Post-traumatic syndrome
Distant attitude: The person appears to be self-absorbed and their
interest in the environment is scarce. It communicates little visually and
verbally. Schizoid.
Inhibition attitude: synonym of withdrawal,
the person appears fearful, speaks quietly and gives
terse answers.
Attitude of strangeness: facial expression and gaze
decomposed, clumsy, fragmentary, slow and
without purposes.
Arrogant attitude: gestures with Disqualification y
devaluation towards others. Helpless, unfriendly.
Frequent in people with delusional ideas of megalomania
and in patients with narcissistic personality traits.
Great confidence attitude: facial expression indicates
well-being. They appear kind, and display movements
fast and loose. Common in maniacs and hypomaniacs.
Intrusive attitude: Does not handle boundaries appropriately and
interferes in conversation, activities, and places
private.
Whining attitude: Expression of discomfort and sometimes
They speak with a low volume, slowly and with movements.
slow. Given in hypochondriasis and in depression.
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Hostile attitude
Childish attitude
Demanding attitude
Seductive attitude
Passive-aggressive attitude: person quiet little
communicative, diverts the gaze, does not respond to people and if it does
they are monosyllabic. Expression of discomfort or anger.
Histrionic attitude: Theatricality of facial expressions and
bodily. Emotions marked with excessive intensity
for the context.
3. AWARENESS: It is the ability to connect with the environment.
Structure
Quantitative
Hypervigilance
Alert: Usual state when awake
Ohypovigilance
. Drowsiness: tendency to fall asleep,
but easily with tactile or verbal stimuli
stay alert again.
. Stupor: Deep sleep. Does not perceive stimuli
neither external nor shows behaviors. Response only
in the face of intense stimuli like pain.
. Coma: Contact with the environment completely lost.
Qualitative
Confusion or clouding: constant drowsiness that
does not reach a state of alert through stimuli
verbal or tactile.
Perplexity
The twilight state
Content
Yocorporal
Dysmorphophobia
Anasognosia
asomatognosia
Phantom limb
Self-examination
Deuteroscopy
Psychological
Depersonalization
The sign of the mirror
External world
Dereification
4. ORIENTATION
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Alopsychic
Time
oSpace
Autopsy
oPerson
In organic pathology, the person is lost first.
In mental pathology, time and place are lost first, and lastly
person. It recovers in reverse.
5. THOUGHT: Unfolding of mental symbols in form
organized through language. Verbal language is the means
and what is evaluated is the ongoing thought and content.
Origin
Logical
illogical
Content
Quantitative
. Alogia
. Poverty of ideas
Qualitative
. Fixed ideas
. Ideas overvalued of disability
despair, guilt, hypochondriacs, mystical.
. Obsessive ideas: contamination, doubts,
horror and aggression, need for order
determined.
. Phobic ideas
. Ideas delirious: self-referential,
persecutory, magical, influential, of
diffusion, greatness, erotomanias, somatics.
Alterations of the course:
Overabundance: taquipsychia, flight of ideas
normal: euphsychic
By default: bradypsychia, blockages, blank mind
Association of ideas:
Circumstantiality: going off on a tangent
Tangentiality: to respond evasively and
irrelevant
Loose association of ideas (inadequate order among)
one idea and another
Association by assonance: words are associated because
sound similar
Incoherence
Verbigeration: automatic emission of words or
entire phrases, incoherent and without continuity
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Neologisms (inventing words)
6. ATTENTION: Voluntary application of mental activity or of the
senses to a certain stimulus or mental or sensitive object.
Hypoprosexia: The person tries to concentrate their attention on
something, but it does not last more than a few seconds, since of
involuntarily it is oriented and focused on others
thoughts or sensations.
Aprosexia: total deficit of attention.
Euprosexia: normal attention
Hyperprosexia: Attention remains focused and
concentrated in determined objects, events
thoughts, memories or sensations.
Disprosexia: Attention is focused on something for a brief
time lapse to orient oneself to a new stimulus
moments later.
7. DREAM
Insomnio: transitorio (< 3 semanas), crónico (> 3 semanas)
of reconciliation
Waking up early
Excessive sleepiness
Parasomnias: strange or uncomfortable experiences that
occur during sleep
Nightmares
Night terrors
Nocturnal enuresis
8. AFFECTION:
Origin: from emotions
Emotional lability: rapid mood swings
Anhedonia: inability to feel pleasure
Inappropriate affection: not related to the context or
origin
Intensity
Hypomanic
Eutectic
Hypothetical
. Constrained
. Dull
. Flattening
Tone
Joy
. Hypomania
. Mania
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Oh Sadness
. Depression
Ira
of fear
9. SENSORIAL PERCEPTION: Illusions, hallucinations agnosias
depersonalization.
Hallucinations
Hypnagogic: falling asleep
Hypnopompic: upon waking
Auditory (simple or complex)
Visual (simple or complex)
olfactory
Touch-sensitive
10. MEMORY: Short term, long term
Quantitative
Hypermnesia
Hypomnesia
Amnesia
. Retrograde
. Anterograde
Qualitative
oParamnesia
. Of the memory
. Of recognition
11. INTELLIGENCE: Mental ability to solve problems
or challenges.
12. Mutism, stereotyping, echolalia, palilalia
dysarthria, aphonia, dysphonia; describe tone, volume, rhythm, fluency.
Emission
oTono
. Disprosody
. Aprosodia
Intensity
. Cacophonous
. Mucilation
Content
Neologisms
Coprolalia
oEcholalia
Progression
oTaquilalia
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oBradilalia
Logorrhea
Mutism
13. JUDGMENT: it is the conclusion drawn by relating ideas.
The conclusion can be true or false. For example: "I
"they chase". This is true or false, there is no other alternative. The
judgments are always relational, and the concatenation of judgments
it results in reasoning.
14. INTROSPECTION: The ability to perceive states
own psychological aspects and reflect on them. Absent, poor,
precarious, acceptable, adequate.