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MSE Phenomena

Bizarre appearance and behaviour Psychotic disorders (schizophrenia, mania), personality disorder
Unkempt, poorly groomed Schizophrenia, depression
Apprehensive and anxious Anxiety disorder
Over-bright clothing Mania
Scarred wrists, tatoos Personality Disorder
Uncooperative behaviour Psychotic disorder, personality disorder
Psychomotor Changes Depression
Resting tremor in patient with treated psychosis Haloperidol (parkinsonism0
Increased tempo of speech Mania, acute schizophrenia
Slowed tempo of speech Depression
Pressured thought stream Unable to be interrupted
Restricted affect Parkinson's disease, schizophrenia
Depressed affect with no reactivity Depression
Flight of ideas Clanging associations seen in schizophrenia and mania
Formal thought disorder Can't understand what the patient is saying - schizophrenia
Neologism Idiosyncratic new word use
Metonym Words used wrongly
Though held with conviction, can't be reasoned with, personally significant and not understandable from the person's background Delusion - schizophrenia, mania, depression
Though held with conviction, can't be reasoned with, personally significant and understandable from the person's background Religious beliefs
Thought that is not held with conviction, can be reasoned with, open to other ideas, significant and may be understandable Overvalued idea
A normal stimulus refers specifically and has significance to an individual Referential delusions
False perception with no object. In the external space and not correctable. Visual hallucination
True perception (there is an object) that is correctable. Illusion
Presence of an object but not correctable Misidentification - very commonin old age
Auditory hallucination with same gender and language as the patient Patient's voice
Variable gender, mutliple voices and speak different languages Internal hallucinations
Running commentary Schizophrenia
Child referring to the self in the third person and running commentary during play Normal development
Delusions and hallucinations Schizophrenia
Delusions without hallucinations Delusional disorder
Lack of insight Psychosis and dementia
Impaired judgement Psychosis, dementia and personality disorders
How the examiner perceives the patient's mood Affect
How the patient describes their mood Mood
Normal MMSE score 26-30
Requirements for the diagnosis of dementia Global cognitive impairment (two or more lobes are affected), evidence of a decline and evidence that there will be further decline
Registration (immediate recall), short term and long term memory Temporal lobe
Orientation, attention and concentration Temporal lobe
Getting distracted by thinking about the holidays Concentration (internal)
Getting distracted by boys playing soccer on the astro Attention (external)
Dyspraxia, visuospatial, number functions, recognition Parietal lobe
Executive functions, abstraction and sequencing Frontal lobe
Orientation to time, place and registration of 3 objeccts Temporal lobe
Serial 7s or WORLD Temporal (concentration) and parietal (math)
Name two objects Expressive dysphagia
Repeat the following Articulation
Follow a 3 stage command Frontal lobe (sequencing) and receptive dysphagia
Follow a written instruction Written, receptive dysphagia
Copy intersecting pentagrams Frontal lobe (sequencing) and parietal lobe (tasks)
Mild cognitive impairment 21-29
Severe cognitive impairment <20
Performs poorly on frontal lobe tasks (drawing clockface, abstract thinking, verbal fluency) Schizophrenia
Performs poorly on tasks requiring attention, concentration or motivation Depression
Damaged first in Alzheimer's disease Temporal lobe
Created by: Epoot