Doctor insights on:
Mini Mental Status Exam For Children
Ask again: This is an English language site. We would like to help. ...Read more
Is it bad to use mnemonics for the memory test when undergoing cognitive assessment e.g addenbrokes cognitive assessment or mmse?
Its OK: I'm not sure why you would be using the MMSE. I would think you would want to use something a bit more sophisticated. ...Read more
Mini mental status exam was first developed by Folstein et. Al. in 1975. The test is used to test cognitive function. The test can be affected by educational status and age. You may find a copy of the exam at:
http://www. Mountsinai. On.ca/care/psych/on-call-resources/on-call-resources/mmse. Pdf ...Read more
Many pieces: A mental health exam ought to contain your presenting problem & its history, past psychiatric history, present & past medical illnesses, medications you're on, your family history, social history, review of systems, and a mental status exam. The latter is quite detailed and includes your affect, attitude, appearance, thought process, memory function, presence of hallucinations or delusions, etc. ...Read more
Altered mental state: Altered mental status means that someone thinks your mind and behavior are significantly different than your usual way of being. Common causes are extreme fatigue, medications, alcohol, drugs, toxins, nervous system infections, shock, blood stream infections, diabetes crises, severe low sodium or high glucose, low oxygen, kidney failure, etc. Often you would not be aware of these changes. ...Read more
MMSE, MoCA, CDT etc: There are many mental exams available for use in elderly. Much depends upon available time as well as familiarity. Alzheimer's drugs are often approved based upon CIBIC-Plus & ADAS-cog but these are not used in regular practice b/c too time consuming. MMSE is copywritten. MoCA & SLUMS are freely available. Clock Drawing Test is useful even if illiterate though maybe not in future generations! ...Read more
Mental Status Exams: As I mentioned earlier, the basic domains of a person's mental state include: appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perceptions, cognition, insight, and judgment. These vital signs of a person's mental status are typically assessed during a mental status evaluation. Other domains may also be assessed, and specific tests may be done when needed. ...Read more
A difference in mind: This refers to an alteration in one or more of the basic domains of a person's mental state. The components of mental status examinations include, for example, appearance, attitude, behavior, mood and affect, speech, thought process, thought content, perceptions, cognition, insight, and judgment. These are the vital signs of a person's mental state. ...Read more
If severe enough:
C diff colitis can result in sepsis, which can manifest as alterations in mental status. C diff colitis causing sepsis is life threatening.
The current definition of sepsis is called qSOFA. You get 1 point each for low blood pressure, high respiratory rate, or altered mental status. A score of 2 or more means you have sepsis.
https://en. Wikipedia. Org/wiki/SOFA_score#Quick_SOFA_Score ...Read more
Confusion: Altered mental status is just a medical term for "confusion" which can be caused by a multitude of things. Anything from an infection, to drugs, to electrolyte imbalances and organ failure can all cause altered mental status. ...Read more
Confusion/Lethargy: Several types of shock: cardiogenic, septic, hypovolemic etc. Patients with any of these will be treated in the ICU and are treated diffirently depending on the type. These patients have decreased awareness may hallucinate, aggitated and pulling lines out etc. They can be on and off to with signs such as deliuium, decreased cognition. Many different symptoms depending on the nature of the shock. ...Read more
Alcohol & Depression: Long term use of alcohol is associated with depression. Over time, it can deplete serotonin, thus, while you may feel good with that initial "buzz, " coming down can take you back to that same sad place you started from, leading you to a vicious cycle of trying to chase away the blues. Staying away can help you get a good nights rest, replenish neurotransmitters and help you see more clearly later ...Read more
Confusion: Decreased or altered mental status is a clinical description of an individual who is not oriented to person, place or time. It can be a symptom of infection, stroke, seizures, or any thing that messes with the brain. ...Read more
Is it possible that children who have extreme migraines (status migraines) qualify for disability?
NOT REALLY......,: There is treatment and preventive measures/medications for migraine. The aim should be thorough evaluation to find out the cause and treatment accordingly. If there are associated serious issues including neurological/developmental, seizure, motor dysfunction etc. Your child's doctor/s will help you in this regard. Check with the pediatrician and peds. Neurologist. ...Read more
How to be fully mentally prepared for a tough maths exam? So that I can be fully alive and fast during the exam time?
Lots of Rest: In order to be at your best during exams your body needs to be well rested. Get at least 8 hours of sleep a night leading up to the exam. Prepare/study well in advance and don't cram the night before, staying up late studying. Make sure to exercise daily and eat healthy, well balanced meals. In order for your mind to work efficiently, your body needs to be well taken care of. Good luck! ...Read more
Legal question: It's a good idea to consult with your attorney regarding these legal questions. Courts of law determine whether a person is competent or not. This court's decision is usually informed by the report/testimony of a mental health professional (psychiatrist or psychologist) with expertise in competency evaluations. ...Read more
Don't understand: The question? There are really no teaching plans for altered mental status. You need to figure out the cause and treat it if possible. ...Read more
Many things: See your md as soon as possible and have further evaluation. It can be from many condition- but it could be serious. Altered mental status can happen as the result of dehydration that can be caused by increase urination; however it also could be caused by low serum sodium, diabetes, high serum calcium, infection etc also have to be ruled out. You should not delay any more-see your md. ...Read more
What is MH status: I'm not sure what you mean by that. Are you wondering about a diagnosis generally or are you feeling off and wondering how to figure, this, out. In general, most mental health determinations are made by talking with someone who is rained, in this area. They will guide the conversation to help figure, things out. Sometimes psychological testing is used but this is typically not a first step. ...Read more
Not enough info: There is not enough information here to provide a comment. Discuss the results with the doctor who ordered the test. They can look at how much fluid is present and where it is located. ...Read more
It's a weird world.: Extra time on tests started to try to help those with severe physical/cognitive disabilities. Now it's not clear who really has what, or needs what. We should give an abundance of time to everyone who wants it. We differentiate too much on who "qualifies" for what "extra". Everyone deserves the best educational approaches, including smaller classes, after-hours help, organizational training, etc. ...Read more
No: There are a variety of tests that can look for specific problems when warrented by age, family history or problems in pregnancy.But there are no tests for perfect outcome. Nelson et al published data in the 80"s showing >1/2 CP kids had nl preg/labor/delivery &~4% of deliveries have some unexpected outcome. A pre-pregnancy conference with a geneticist & OB can help u focus on your specific risks. ...Read more
Is it normal to feel lymph nodes that are small, don't change, are moveable, & don't hurt? Physical exams always ok. US 2y ago okay toó.
Yes: Lymph nodes are more palpable when we are youngsters, but if you have been evaluated and they have not since changed, then no cause for concern. ...Read more
I lost interest in studies & can't concentrate, exam is geting nearer, am sleeping many hours than required, feeling phisicaly & mentaly more.
Worried??: Close to exams it is easy to get worried and start to shut down. I'm sure most schools have a counselor you can talk to who can help you through this difficult time. You can do it! ...Read more
On Sat, saw LOT of bright red blood w/BM. Last 2 days small amt of bright red blood w/BMs. Digital exam neg. FIT neg in 12/13. No other sxs. Help!
No.: There is no evidence that they are any more of a danger to the other students than any non-infected student is. The only thing revealing their status will accomplish is to alienate them unfairly. ...Read more
Mental health: Poorer people, with fewer resources are at high risk for mental health issues. That being said, those who are affluent who do not use the resources at their disposal for mental health issues are also at risk. ...Read more
No: No, but it's a good opportunity to ask about it. ...Read more
Shall I give my son meds before his mental health exam. He takes aderral and geodon (ziprasidone)?
Yes: If he has been receiving these medications, I would continue to provide them. ...Read more