April 11, 2024

Higher mental function examination is the initiation of the neurological examination and without proper assessment of these in detail examiner should not proceed forward to further examinations.

AVPU

A: Alert

V: Arousable with verbal command–> Drowsy

P: Arousable with painful stimulus –>Stupor

U: Not arousable

Other Higher mental function evaluations:

GLASGOW COMA SCALE (GCS)

A standard method used to document the level of consciousness in acute brain injury

<8: severe brain injury and coma

9-12: moderate brain injury

13-15: mild brain injury

ESSPN with VOCAIN by My OLD FriENd

EYE:

Spontaneous: 4

Sound/Speech: 3

Painful Stimulus: 2

No Response: 1

VERBAL COMMANDS:

Oriented: 5

Confused: 4

Inappropriate Word: 3

Incomprehensible Sound: 2

No response: 1

MOTOR RESPONSE:

Obeys commands: 6

Localize pain: 5

withDraws: 4

Flexion ( decorticate rigidity): 3

Extension (decerebrate rigidity): 2

No response: 1

Cognition

Mini-Mental Status Examination(MMSE) can do a screening examination of cognition

Higher mental function symbolic
Light of brain

Mini-Mental Status Examination(MMSE)

  1. Orientation
    1. (1 point each=5)
      1. Time?
      2. Date?
      3. Day?
      4. Month?
      5. Year?
    2. 1 Point each = 5
      1. Ward?
      2. Hospital?
      3. District?
      4. Town?
      5. Country?
  2. Registration
    1. Name 3 objects, (1 sec to say each)
    2. Then ask the patient all after you have said them
    3. Give 1 point for each correct answer
  3. Attention and Calculation
    1. Serials 7’s. 1 point for each correct answer. Stop after 5 answers
    2. 5 correct= 5 points
    3. eg. subtract 7 from 100
  4. Recall
    1. Ask for the 3 objects repeated above in registration. Give 1 point for each correct answer
  5. Language
    1. Naming: show Pen and watch (name it)
    2. Repeat the following ” No ifs, and, or buts”
    3. 3-stage command:
      1. Take a piece of paper
      2. fold the paper
      3. place on the floor
    4. Reading: 1 point for each correct response; Close your eyes
    5. Writing a sentence
    6. Copy the design shown

See also: Cerebellar examination

See also: Cranial nerve examination

See also: Motor examination

See also: Sensory examination

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