Exam: Patient Alert
1. Quick Screening (Standardized screening if positive)
  1. Mental Status Consolidated Screening
2. Standardized Screening
  1. Mini-Mental Status Exam (MMSE)
    1. Screening gold standard
    2. Requires payment for clinical use
  2. Copland's Short-Test of Mental Status
    1. Free scale with similar accuracy to MMSE
  3. Confusion Assessment Method (CAM)
    1. Assesses for Delirium
  4. Addenbrooke's Cognitive Examination (ACE)
    1. Differentiates Alzheimer's from other Dementias
    2. Detect early Dementia
  5. Blessed Information Memory Concentration (BIMC)
    1. Tests orientation, memory, concentration, naming
    2. Positive if >10 mistakes (out of 28 possible)
  6. Blessed Orientation Memory Concentration (BOMC)
    1. Shortened version of BIMC (6 questions)
    2. Positive if >10 mistakes
  7. Short Test of Mental Status (STMS)
    1. Tests orientation, attention, recall, and copying
    2. Also tests calculation, abstraction, clock drawing
    3. Positive if score <30 (out of 38 possible points)
3. Focus areas for examination
  1. Alertness and Orientation
  2. Appearance, Attentiveness (Hallucinations)
  3. Language (speech flow and content)
  4. Memory
  5. Perceptions
  6. Thought processes (coherent or disorganized)
Exam: Patient not alert
1. AVPU Scale
2. Glasgow Coma Scale
Geriatric Assessment Tools
1. http://www.medicine.uiowa.edu/igec/tools/default.asp

Mini-mental state examination (C0451306)
Concepts	Diagnostic Procedure (T060) , Intellectual Product (T170)
English	Mini-mental state examination, MMSE - Mini-mental state examination
Spanish	examen mental abreviado
Parent Concepts	Assessment scales (C0450973)
Sources	SCTSPA, SNOMEDCT Derived from the NIH UMLS (Unified Medical Language System)

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This page was written by Scott Moses, MD. This page was last revised on 5/21/2008 9:47:59 PM. This page was last published on 7/1/2009. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.

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Mental Status ExamAka: Mental Status Screening

Mini-mental state examination (C0451306)

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