Neurology Book

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Saint Louis University Mental Status

Aka: Saint Louis University Mental Status, SLUMS
  1. Advantages: Compared with MMSE
    1. Free for clinical use
      1. In contrast, MMSE was initially taught as a free, gold standard exam in medical school, and later required a fee for clinical use
    2. Identifies mild cognitive disorders
      1. In contrast, MMSE is often normal in mild cognitive disorders, especially with college education
  2. Components: 11 Questions for a total of 30 points
    1. Orientation: 3 (day of the week, year, U.S. state) - 3 points
    2. Memory: Remember 5 objects (Apple, Pen, Tie, House, Car) - 5 points on correct recall
    3. Calculation: Start with $100 and spend $3, then $20; how much is spent and how much remains - 2 points
    4. Name as many animals as possible in 5 minutes - 3 points for 15 or more, 2 points for 10 or more, 1 point for 5 or more
    5. Reverse number sequences (87, 649, 8537) - 1 point 946, 1 point for 7358
    6. Given a clock face, write the hour markers 1-12 and place the hands on the clock at 10 minutes to eleven - 1 point for correct markers and 1 point for correct time
    7. From 3 shapes (square, triangle, rectangle), choose the triangle and choose the largest - 1 point for each of the 2 tasks
    8. A brief story is read and patient answers four questions about it - 2 points for each of the 4 questions
  3. Interpretation: High School Education
    1. Normal: 27-30
    2. Mild Neurocognitive Disorder (MNCD): 21-26
    3. Dementia: 20 or less
  4. Interpretation: High School Education
    1. Normal: 25-30
    2. Mild Neurocognitive Disorder (MNCD): 20-24
    3. Dementia: 19 or less
  5. Resources
    1. Saint Louis University Mental Status (SLUMS) PDF
      1. http://medschool.slu.edu/agingsuccessfully/pdfsurveys/slumsexam_05.pdf
  6. References
    1. Tariq (2006) Am J Geriatr Psychiatry 14(11): 900-10. [PubMed]

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