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8 Cards in this Set

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What is the different between Mood and Affect and how can they be described?
Mood: The internal subjective state of the patient. Described with words such as depressed, euthymic (middle of the road), euphoric, or irritable

Affect: External observed state. Described as depressed, full, labile, constricted, blunted, flat
How is Speech evaluated on a mental status exam?
Rate, Tone, Volume (r/t/v)
Increased, decreased, pressured
For Diagnosis of Mental Status how many axis are there and what are they in reference to?
Axis I-V
I: Primary Diagnosis
II: MR, Personality Disorders
III: General Medical Disorders
IV: Psychosocial, Environmental Problem
V: Global Assessment of Functioning - 0-100
What is Delirium?
Short term confusion and changes in cognition
What is the DSM IV for Delirium?
A: Disturbance of consciousness (i.e., reduced clarity of awareness of the environment) with reduced ability to focus, sustanin or shift attention
B: Change in cognition or the development of a perceptual disturbance that is not better accounted for by a preexisting, established or evolving dementia
C: Disturbance develops over a short period of time and tends to flucuate during the course of the day
D: there is evidence from the history, physical examination, or laboratory findings that the disturbance is caused by the direct physiological consequences of a general medical condition
What is the difference between Illusion and Hallucination?
Illusion is misconstruing something that is there.
Hallucination is seeing something that isn't there.
What type of Hallucinations may be associated with Delirium?
VH, TH, AH
In a patient who is delirius what would you expect to see on an EEG?
Improvement in background rhythm typically parallels clinical improvement. However, an exception is that you can see low voltage fast activity typical during delirium tremens, which is a more hyperactive delirium.