THE MENTAL STATUS EXAMINATION Brown (布朗的精神状态检查).pdf
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THE MENTAL STATUS EXAMINATION
Robert M. House M.D.
1. What is the mental status examination? induced mania. The patient denied drug abuse. However,
questioning his wife uncovered a history of substance abuse,
and laboratory evaluation revealed the presence of
The mental status examination (MSE) is a component of all
amphetamine metabolites. The correct diagnosis was
medical exams and may be viewed as the psychological
amphetamine-induced mood disorder.
equivalent of the physical exam. It is especially important in
neurologic and psychiatric evaluations. The purpose is to
evaluate, quantitatively and qualitatively, a range of mental 3. What key factors should be considered along with the
functions and behaviors at a specific point in time. The MSE MSE?
provides important information for diagnosis and for
assessment of the disorder’s course and response to
To assess properly the patient’s mental status, it is important
treatment. Observations noted throughout the interview
to have some understanding of the patient’s social, cultural,
become part of the MSE, which begins when the clinician
and educational background. What may be abnormal for
first meets the patient. Information is gathered about the
someone with more intellectual ability may be normal for
patien
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