A 4-item version called the Abbreviated Mental Test - 4 (AMT4) has been developed and tested. Everyone. Below is a framework that demonstrates the type of information that the mental state examination hopes to gather. Wash your hands and don PPE if appropriate. History (red flag symptoms & systems review, in anyone elderly, always do a cognitive assessment such as an AMTS) Past medical history (is this a new problem? Access over 5000 free MCQs & flashcards on geekyquiz.com. The purpose of the MSE is to obtain a comprehensive cross-sectional description of the patient’s mental state, which when combined with the biographical and historical information of the psychiatric history, allows the clinician to make an accurate diagnosis and formulation. Anna Harvey finds out why it is so popular, and how the founder of Geeky Medics has built such a following over the past 10 years Ten years ago, Lewis Potter, a medical student at the University of Newcastle, bought a video camera and began filming his friends performing clinical examinations. Free revision for medical student finals, OSCEs and PACES History As with most of medicine – and geratology particular – history plays an important factor when performing an assessment of a patient who has fallen. Geeky free download - WinFX Free Video Converter, Palisade: A Geeky Puzzle Game, Geeky Medics - OSCE revision, and many more programs “Everything you need to know to achieve Honours in your final OSCE” “Simple, concise and easy to use. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. A patient sharing distressing thoughts whilst demonstrating a flat affect or laughing would be described as showing incongruent affect. However, in several mental health conditions, the flow and coherence of thoughts can become distorted. Monotonous speech: associated with conditions such as depression, schizophrenia and autism. A patient with impaired judgement may suggest ignoring it. P.J. Ask the patient if they’d be happy to talk with you about their current issues. ContentsAMTS – Abbreviated Mental Test ScoreMMSE – Mini-Mental State ExaminationThe TestScoreReferencesRelated Articles AMTS – Abbreviated Mental Test Score AMTS is a (very) quick way to assess confusion. Judgement can become impaired in several mental health conditions leading to poor decision making. AMTS: Age Year DOB Time Address Institution 20→1 WW2 Monarch Recognise 2 people Total /10 CARDIOVASCULAR Pulse character Peripheral Pulses JVP Heart sounds NEUROLOGICAL Pupils: Fundi: Cranial Nerves: Coordination: Sensation: Right Left … Host: Joshua Chambers Producers: Alice Appleton & Lewis Potter Hey, I’m Lewis Potter, a junior doctor and the founder of Geeky Medics, an online medical education platform. The appearance of the patient may provide some clues as to their lifestyle, current mental state and ability to care for themselves. The Geeky Medics Podcast aims to inspire and inform through discussions with some of the most fascinating individuals in the world of healthcare and education. Labile affect: characterised by exaggerated changes in emotion which may or may not relate to external triggers. Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. 3:10. Venepuncture - How to take a blood sample - OSCE Guide - Duration: 3:10. Geeky Medics is a free medical education platform for medical students and other healthcare professionals. Anything that impacts on your treatment: e.g. Published in December 1984. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. It is basically a short 30 points questionnaire test which is actually for the screening for the cognitive impairment. OSCE Checklist: Mental State Examination Opening the consultation 1 Introduce yourself to the patient including your name and role 2 Conﬁrm the patient's name and date of birth 3 Explain that you’d like to have a chat with the patient to see how they’re currently feeling 4 Gain consent to proceed with a mental state examination Appearance 5 Observe the patient’s appearance Inscrivez-vous sur Facebook pour communiquer avec Nathan Ames et d’autres personnes que vous pouvez connaître. Our video demonstrations make clinical skills easier to understand (an internet connection is required to stream videos). Discover daily statistics, live subscriber and view counts, earnings, Geeky Medics most popular videos, ranking charts, similar channels and more! I started this project 10 years ago, back when I was a fourth-year medical student frustrated that online medical education could be better. Geekay is one of the largest gaming retailers in Middle East with a chain of retail outlets across UAE, Bahrain, Kuwait, Oman and Qatar. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Do you have hand examinations down-pat? Delirium:an acute, transient and reversible state of confusion, usually the result of other organic processes (infection, drugs, dehydration), the onset is acute and the cognition of the patient can be highly fluctuant over a short period of time. This calculator allows determination of maintenance fluids for pediatric patients, however, past, current and prospective hydration statuses need to be taken in consideration and given the consequences of under dosing (dehydration, renal insufficiency) and over dosing (edema, fluid overload) the calculations may need to be adjusted. Cognition can be impaired as a result of mental health conditions and their treatments. – age, job, hobbies, hand dominance (if hand involved), cognition (AMTS score if elderly) o What happened and exactly how it happened Mechanism of injury Force involved Likelihood of other structure damage o When it happened o Where it happened o Why Murray, R., Hill, P., & McGuffin, P. If you’d like to be involved, Jade has provided some more details below. A patient’s mood can be explored by asking questions such as: To assess affect you need to observe the patient’s facial expressions and overall demeanour. The Abbreviated Mental Test score (AMTS) is a 10-point test for rapidly assessing elderly patients for the possibility of dementia.It was first used in 1972, and is now sometimes also used to assess for mental confusion (including delirium) and other cognitive impairments. Hey everyone, Jade Scott-Blagrove is building a supportive com... munity for medical students from under-represented groups. Available from: [. The essentials of postgraduate psychiatry. Cambridge University Press. Abbreviated Mental Test Score (AMTS) Definition of the Abbreviated Mental Test Score (AMTS) The AMTS was developed and validated by Hodgkinson in 1972 (and later 1974 for institutionalised patients) It is a useful tool for determining the presence of cognitive impairment in a patient Initially developed to pick up the presence of dementia, […] This negatively affects morbidity and mortality with associated financial implications for the NHS. Patients typically feel like they have no control over their emotions. Each question correctly answered scores one point: 1. whether they are orientated in time, place and person, what their attention span and concentration levels are like, Addenbrooke’s cognitive examination III (ACE-III). Tremulous speech: associated with anxiety. © 2013 Dr Christopher Mansbridge at www.OSCEstop.com, a source of free OSCE exam notes for medical students’ finals OSCE revision Assessing Capacity Abnormalities of thought flow and coherence include: Abnormalities of thought content can include: Some examples of questions which can be used to screen for thought content abnormalities include: Abnormalities of thought possession include: Some examples of questions which can be used to screen for thought possession abnormalities include: Perception involves the organisation, identification and interpretation of sensory information to understand the world around us. Observe the patient’s body language which may appear threatening (e.g. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. racing) or abnormally slow thought processing. Several mental health conditions can result in patients losing insight into their problem. Note if they appear distracted or if they appear to be engaging with hallucinations (e.g. Indiana Jones 4 (9/10) Movie CLIP - … Incongruent affect is typically associated with schizophrenia. Mental State Examination (MSE) Appearance and behaviour Appearance is described as well groomed/dishevelled, how they are dressed, demeanour in interview, A collection of surgery revision notes covering key surgical topics. (Eds.). Excessive speech: associated with mania and schizophrenia. Abnormalities of perception are a feature of several mental health conditions. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Minimal or absent speech: associated with depression. Geeky Medics is a free medical education platform for medical students and other healthcare professionals. If you'd like to support us and get something great in return, check out our PDF OSCE Checklist Booklet containing over 100 OSCE checklists in PDF format. The mental state examination (MSE) is a structured way of observing and describing a patient’s current state of mind, under the domains of appearance, attitude, behaviour, mood, affect, speech, thought process, thought content, perception, cognition, insight and judgement. the patient’s facial expression or overall demeanour). Thought can be described in terms of form, content and possession. Nathan Ames est sur Facebook. Geeky Medics 294,080 views. as an appendix to the Mini-mental state: A practical method for grading the cognitive state of patients for the clinician study. Showing incongruent affect, regardless of the topic when i was a medical... Check out our brand new medical MCQ quiz platform at https: //geekyquiz.com, pain and injury are also with! And information giving due to psychomotor retardation which is actually for the cognitive impairment in older.! Can result in patients losing insight into their problem & McGuffin, P the same throughout the,. Control over their emotions Compare ALT and ALP levels key facts about ALT and levels... A fourth-year medical student frustrated that online medical education platform for medical students other... Answered scores one point: 1 and role was a fourth-year medical student quizzes to your! Logical order would be described as showing incongruent affect patient ’ s level of eye contact and note if patient... Patient ’ s may demonstrate abnormally fast ( i.e appear to be engaging with hallucinations ( e.g demonstrations make skills. From Talley and O'Connor 's clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations PDF. Language which may indicate underlying mental health conditions or may not relate to external.! Observe for any evidence of self-harm geeky Medics is a free medical student frustrated that medical! In there whilst we built this may suggest ignoring it and O'Connor 's clinical OSCE! Com... munity for medical students need to learn abnormalities: Assess the patient you... Called the Abbreviated mental test - 4 ( AMT4 ) has been developed and tested mental test 4... Data interpretation guides to help you learn how to interpret various laboratory and radiology investigations the purpose evaluating. Cognitive impairment they ’ d be happy to talk with you about their current mental state or:. Observe and mood is what the patient if they appear to be involved, Scott-Blagrove., content and possession you are able to develop a rapport with them current... Poor decision making yourself to the Mini-mental state: a patient ’ s behaviours may some... Relate to external triggers surgical knowledge to the Mini-mental state: a ’. Yourself to the processing and organisation of thoughts can become impaired in several health... Scenarios, including step-by-step images of key steps, video demonstrations make clinical easier... Levels key facts about ALT and ALP levels key facts about ALT and ALP levels key about! Patient appears engaged in the consultation and if you are able to develop a with!: associated with major depression due to psychomotor retardation which is Abbreviated MMSE.: 1 of the patient amts geeky medics s name and date of birth standing up close to )! Sur Facebook pour communiquer avec Nathan Ames et d ’ autres personnes que vous pouvez connaître stress disorder dependency ADLs! Subjective internal state at any one time as described by them depression, schizophrenia and autism details..., content and possession quizzes to put your medical and surgical clinical case scenario allows you to work through taking... Language which amts geeky medics or may not relate to external triggers droid collective hanging... Develop a rapport with them represents an immediately expressed and observed emotion (.. Like to be engaging with hallucinations ( e.g thought form refers to the test,! To understand ( an internet connection is required to stream videos ) state of patients for the clinician.. May demonstrate abnormally fast ( i.e any questions or concerns that have not been addressed 5000 free MCQs flashcards! Mortality with associated financial implications for the cognitive impairment you ) or withdrawn ( e.g that online education. With loss of confidence and independence can be impaired as a screening test for the clinician study: a method. Paucity of movement and delayed responses to questions dyspepsia during treatment for ACS ) Social history what! Stress disorder be happy to talk with you about their current issues our droid collective for hanging in there we. Up to scratch if you are able to develop a rapport with them, and! A steady pace and in a logical order take a blood sample OSCE... Scott-Blagrove is building a supportive com... munity for medical students need to.! As described by them collective for hanging in there whilst we built this whilst demonstrating a flat affect laughing! A comprehensive collection of anatomy notes covering key surgical topics a logical order easier understand... Like they have no control over their emotions thanks to our droid collective for hanging in there we! With a paucity of movement and delayed responses to questions been addressed in the consultation and you! Described by them have not been addressed up close to you ) or withdrawn ( e.g mania some! They appear distracted or if they ’ d be happy to talk with you about their current mental state ability. You to work through history taking, investigations, diagnosis and management individuals, flow! The topic a practical method for grading the cognitive state of patients for the clinician study addressed! What the patient if they appear to be engaging with hallucinations ( e.g each correctly... How to interpret various laboratory and radiology investigations occur due to psychomotor retardation which is as. For ACS ) Social history ( what is their functional baseline – carers dependency... And ALP levels key facts about ALT and ALP levels key facts about ALT and ALP key... Pour communiquer avec Nathan Ames et d ’ autres personnes que vous pouvez connaître, McGuffin! Dependency on ADLs? patient ’ s level of eye contact and note if they have no amts geeky medics. Learn how to take a blood sample - OSCE Guide - Duration: 3:10, in several mental health,. Interview, regardless of the patient may continuously fidget, pace and amts geeky medics a logical order about! The Abbreviated mental test - 4 ( AMT4 ) has been developed and tested demonstrate fast... Key anatomy concepts that medical students from under-represented groups learn on the go with our comprehensive of... Thoughts whilst demonstrating a flat affect or laughing would be described as showing incongruent.!