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History / MSE - Coggle Diagram
History / MSE
MSE
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Mneumonic
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Appearance Speech, Mood, Thought, Perception, Cognition, Insight
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Behaviour
- Seated, relaxed / pacing, restless
- Movements - spontaneous, normal / abnormal movements
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- Social behaviour
Easy / difficult to establish rapport
Anxious / distressed
Irritable / suspicious
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Mood and Affects
- Reactive (to interviewer)
- Restricted/ flat / reduced
- Blunted - lacks emotional response
- Labile - fluctuates rapidly
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Cognition
Language
Fluency, rate, spontaneity
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Distributed Functions
- Attention / concentration
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- Memory - immediate and recall
- Frontal executive function
Apraxia
Inability to carry out complex motor act despite intact motor and sensory systmes and co-ordination, good comprehension and full co-operation
Types
Ideomotor apraxia
Unable to carry out motor act to command but can do it spontaneously
Inferior parietal and pre-frontal areas
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Orobuccal apraxia
Difficulty performing learned skilled movements of face, lips, tongue, cheeks, larynx and pharynx on command
Insight
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Levels of belief
- There is something wrong
- This is due to illness
- This is mental (or physical)
- There is treatment available
- The treatment will help
- They accept treatment
History Structure
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- Substance abuse, Meds, Allergies
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Personal history
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Social supports - job , home
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