Physical appearance
General appearance A)descriptive data (age, ht, wt) B)general impression of appearance (appearance for chronologic age, posture, facial expression, eye contact) Personal cleanliness(hair, nails, teeth, beard, indications of unilateral neglect) Habits of dress Motor activity
Mood&emotional status
Mood normal for situation sadness elation apathy & lack of concern fluctuations in mood Emotional status cooperation with examiner depression anxiety suspiciousness anger reality testing (delusions, hallucinations) indications of non psychotic emotional symptoms(phobia, mania, obsessiveness ) abnormalities of language & speech
Pseudo dementia&dementia
Level of consciousness
Alertness Lethargy Obtundation Stupor or semicoma coma
attention
Observation History Digit repetition Sustained attention(A random letter test) Unilateral inattention
language
Dysarthria Apraxia Aphasia Alexia agraphia
Anatomy of aphasia
Transcorticalmotor
Conduction
Anomic
Brocas
Wernickes
Transcorticalsensory
20
Global
21
Evaluation of language
Handedness Observing spontaneous speech Verbal fluency animal naming FAS test Comprehension yes or no questions pointing commands Repetition Naming and word finding Reading writing
Aphasic syndromes
memory
Immediate digit repetition Recent orientation to place, person and time Remote personal information New learning ability 4 unrelated words recalled after 5,10,30 mts Verbal story for recall Visual memory for hidden objects Paired associate learning
Construction ability
Drawing to commands Draw a clock face with all numbers Set clock for a time
Neglect
27
Parietal lobe tests ideomotor apraxia ideational apraxia dressing apraxia calculation RT-LT disorientation finger agnosia stereognosis construction apraxia
Temporal lobe tests verbal memory visual memory paired associate learning