Hey, I’m Lewis Potter, a junior doctor and the founder of Geeky Medics, an online medical education platform. Patient’s may demonstrate abnormally fast (i.e. Slurred speech: may occur in major depression due to psychomotor retardation. Offers in-app purchases. Tremulous speech: associated with anxiety. A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. Note any evidence of exaggerated gesticulation or unusual mannerisms. ‎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. Geeky Medics YouTube Statistics & Channel Analytics. Geeky Medics is a medical education platform that provides high-quality learning resources for medical students and other healthcare professionals. Confirm the patient’s name and date of birth. Geeky Medics 294,080 views. A collection of surgery revision notes covering key surgical topics. Wash your hands and don PPE if appropriate. Statistics data is updated every day via YouTube API and summarized by Stats.Video Abnormalities of perception are a feature of several mental health conditions. Observe the patient’s facial expression (e.g. Judgement can become impaired in several mental health conditions leading to poor decision making. Observe the apparent emotion reflected by the patient’s affect, examples may include: Range and mobility of affect refer to the variability observed in the patient’s affect during the assessment. A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Incongruent affect is typically associated with schizophrenia. Observe the patient’s general appearance: A patient’s behaviours may provide insights into their current mental state. Monotonous speech: associated with conditions such as depression, schizophrenia and autism. Add to wishlist. Geeky Medics is a free medical revision platform for medics, by medics. Step 2 – Compare ALT and ALP levels Key facts about ALT and ALP. Mental State Examination (MSE) – OSCE Guide, Download the mental state examination (MSE), Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, Explaining a Diagnosis of Eczema – OSCE guide, Physician Associates: insights into a new role in the NHS. (Eds.). A collection of anatomy notes covering the key anatomy concepts that medical students need to learn. Those over the age of 65 have the highest risk of falling with 30% of those over 65 and 50% of those over 80 falling at least once a year.¹ Falls can have a profoundly negative impact on the quality of life of the elderly and their carers. Affect represents an immediately expressed and observed emotion (e.g. The essentials of postgraduate psychiatry. Throughout the process of performing a mental state examination, you will develop a vague idea of the patient’s cognitive performance including: A formal assessment of cognition can be achieved through a variety of different validated clinical tests including: Insight, in a mental state examination context, refers to the ability of a patient to understand that they have a mental health problem and that what they’re experiencing is abnormal. as an appendix to the Mini-mental state: A practical method for grading the cognitive state of patients for the clinician study. 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. 93 en parlent. 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. A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Below is a framework that demonstrates the type of information that the mental state examination hopes to gather. © 2013 Dr Christopher Mansbridge at www.OSCEstop.com, a source of free OSCE exam notes for medical students’ finals OSCE revision Assessing Capacity 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 A collection of communication skills guides, for common OSCE scenarios, including history taking and information giving. “Everything you need to know to achieve Honours in your final OSCE” “Simple, concise and easy to use. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. ­­ 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, […] 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? Geeky Medics 2,502,478 views. Do you have hand examinations down-pat? Geeky Medics Medical. Blunted or flat: associated with schizophrenia, depression and post-traumatic stress disorder. Delirium Click here to jump to a flowchart for the emergency medical management of acute confusion and delirium and click here to jump to questions about delirium Definition of delirium An acute disturbance of the mind, with features including (but not limited to): Memory impairment Disorganised thinking Hallucinations (particularly visual) Personality changes Changes in sleep pattern […] Patient is scored out of ten, with (variations of) the following questions: How old are […] the patient’s facial expression or overall demeanour). – 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 Geeky free download - WinFX Free Video Converter, Palisade: A Geeky Puzzle Game, Geeky Medics - OSCE revision, and many more programs Pneumonia ­­ Definition of pneumonia Infection of the lung parenchyma Usually bacterial Epidemiology of pneumonia Commonest infectious cause of death in the UK and USA Incidence – 5-11 per 1000 per year Worse during autumn and winter Risk factors for pneumonia Age Aspiration (of gastric contents or oral secretions) Usually gram negative […] 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. 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. 3:10. Check out this hand OSCE video from Talley and O'Connor's Clinical Examination to ensure your skills are up to scratch! Fixed affect: the patient’s affect remains the same throughout the interview, regardless of the topic. 65 talking about this. In healthy individuals, thoughts flow at a steady pace and in a logical order. replying to auditory hallucinations in schizophrenia). Geeky Medics is one of the best known peer teaching resources for healthcare students. Mini Mental Status Examination, which is abbreviated as MMSE, is also known as the Folstein test. The appearance of the patient may provide some clues as to their lifestyle and ability to self-care: 1. Works great from anywhere!” Geeky Medics is a free medical education platform for medical students and other healthcare professionals. Geeky Medics | free medical student revision notes, OSCE guides & MCQs Geeky Medics provides free medical student revision resources, including OSCE … Learn more effectively and share your knowledge. Psychomotor retardation: associated with a paucity of movement and delayed responses to questions. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. 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. Learn on the go with our comprehensive collection of high-quality OSCE guides covering a wide range of clinical skills.Our video demonstrations... November 10, 2018 By Geeky Medics Ear Wax Extraction .Putting Q-Tips In Your Ears Is VERY Bad For Your Health, And Here's Why Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. Observe the patient’s level of eye contact and note if this appears reduced or excessive. We produce awesome free OSCE revision videos that anyone can access. 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. It is basically a short 30 points questionnaire test which is actually for the screening for the cognitive impairment. Note if they appear distracted or if they appear to be engaging with hallucinations (e.g. Disorders with overvalued ideas. Minimal or absent speech: associated with depression. Hey everyone, Jade Scott-Blagrove is building a supportive com... munity for medical students from under-represented groups. Thought can be described in terms of form, content and possession. 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 … Geekay is one of the largest gaming retailers in Middle East with a chain of retail outlets across UAE, Bahrain, Kuwait, Oman and Qatar. Distinctive features 2. Available from: [. The physical distress, pain and injury are also associated with loss of confidence and independence. Indiana Jones 4 (9/10) Movie CLIP - … A collection of interactive medical and surgical clinical case scenarios to put your diagnostic and management skills to the test. Anything that impacts on your treatment: e.g. 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. Check out our brand new medical MCQ quiz platform at https://geekyquiz.com. A comprehensive collection of OSCE guides to common clinical procedures, including step-by-step images of key steps, video demonstrations and PDF mark schemes. However, in several mental health conditions, the flow and coherence of thoughts can become distorted. 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). Restricted affect: the patient’s affect changes slightly throughout the interview, but doesn’t demonstrate the normal range of emotional expression that would be expected. P.J. Observe for any evidence of psychomotor abnormalities: Assess the patient’s speech to identify abnormalities which may indicate underlying mental health issues. Ask the patient if they’d be happy to talk with you about their current issues. Labile affect: characterised by exaggerated changes in emotion which may or may not relate to external triggers. (1997). Some examples of questions which can be used to screen for perceptual abnormalities include: Cognition refers to “the mental action or process of acquiring knowledge and understanding through thought, experience, and the senses”. Restlessness: the patient may continuously fidget, pace and refuse to sit still. If you’d like to be involved, Jade has provided some more details below. Host: Joshua Chambers Producers: Alice Appleton & Lewis Potter – 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 it happened – the fracture may be the secondary result of another major problem (e.g. Cognition can be impaired as a result of mental health conditions and their treatments. A patient with impaired judgement may suggest ignoring it. A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. Cambridge University Press. You may get some idea of the patient’s judgement abilities as you move through the mental state examination, but you can also specifically assess judgement by presenting the patient a scenario such as: Sensible judgement in this situation would involve leaving the house immediately wherever possible and calling the fire department. A collection of free medical student quizzes to put your medical and surgical knowledge to the test! I started this project 10 years ago, back when I was a fourth-year medical student frustrated that online medical education could be better. Geeky Medics - OSCE revision. Patient is scored out of ten, with (variations of) the following questions: How old are […] Nathan Ames est sur Facebook. Excessive speech: associated with mania and schizophrenia. Venepuncture - How to take a blood sample - OSCE Guide - Duration: 3:10. The Abbreviated Mental Test (AMT) score lacks validation in primary care and screening populations; most validity data refer to correlation to the Mini Mental State Examination (MMSE). Slow speech: may occur due to psychomotor retardation which is typically associated with major depression. We produce awesome free OSCE revision videos that anyone can access. Introduce yourself to the patient including your name and role. 798. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Discover daily statistics, live subscriber and view counts, earnings, Geeky Medics most popular videos, ranking charts, similar channels and more! The appearance of the patient may provide some clues as to their lifestyle, current mental state and ability to care for themselves. Ask the patient if they have any questions or concerns that have not been addressed. standing up close to you) or withdrawn (e.g. Murray, R., Hill, P., & McGuffin, P. curled up or hands covering their face). Observe the patient’s body language which may appear threatening (e.g. The structure below is particularly […] Falls – history, examination, investigations and management How to investigate and manage patients with falls. Everyone. Abbreviated Mental Test Score The abbreviated mental test score (AMTS) was introduced by Hodkinson in 1972 to rapidly assess elderly patients for the possibility of dementia The following questions are put to the patient. It is used as a quick screening tool, usually on the hospital ward. Pressure of speech: a tendency to speak rapidly, motivated by an urgency that may not be apparent to the listener (often a manifestation of thought abnormalities such as flight of ideas, which is described later in the article). A collection of data interpretation guides to help you learn how to interpret various laboratory and radiology investigations. 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. Some examples of questions which can be used to assess insight include: Judgement refers to the ability to make considered decisions or come to a sensible conclusion when presented with information. Grooming/hygiene 5. 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. The MMSE was designed as a screening test for the purpose of evaluating cognitive impairment in older adults. This quick to use screening test was first introduced in 1972. Thanks to our droid collective for hanging in there whilst we built this. racing) or abnormally slow thought processing. MINI MENTAL STATE EXAMINATION (MMSE) Patient's name: Hospital number: ORIENTATION REGISTRATION ATTENTION AND CALCULATION RECALL LANGUAGE COPYING Year … 120 talking about this. Learn on the go with our comprehensive collection of over 150 high-quality OSCE guides covering a wide range of clinical skills. 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. Mckenna. Our video demonstrations make clinical skills easier to understand (an internet connection is required to stream videos). Access over 5000 free MCQs & flashcards on geekyquiz.com. Affect is what you observe and mood is what the patient tells you. Each clinical case scenario allows you to work through history taking, investigations, diagnosis and management. Geeky Medics added a new photo. Heightened: associated with mania and some personality disorders. Geeky Medics is a free medical education platform for medical students and other healthcare professionals. A comprehensive collection of clinical examination OSCE guides that include step-by-step images of key steps, video demonstrations and PDF mark schemes. A comprehensive collection of medical revision notes that cover a broad range of clinical topics. This negatively affects morbidity and mortality with associated financial implications for the NHS. A collection of surgery revision notes covering key surgical topics. Install. Note if the patient appears engaged in the consultation and if you are able to develop a rapport with them. Mood represents a patient’s predominant subjective internal state at any one time as described by them. Mental State Examination (MSE) Appearance and behaviour Appearance is described as well groomed/dishevelled, how they are dressed, demeanour in interview, Posture/gait 4. Several mental health conditions can result in patients losing insight into their problem. Geeky Medics is a free medical revision platform for medics, by medics. The Mini-Mental State Examination (MMSE) was first published in 1975 by M. F. Folstein et al. 3:24. MINI MENTAL STATE EXAMINATION (MMSE) Patient's name: Hospital number: ORIENTATION REGISTRATION ATTENTION AND CALCULATION RECALL LANGUAGE COPYING Year … Clothing 3. 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. Each question correctly answered scores one point: 1. This test is used in medical field for screening for dementia. Check out the latest episodes of The Geeky Medics Podcast, Start typing to see results or hit ESC to close, DNACPR Discussion and Documentation – OSCE Guide, Cervical Spine X-ray Interpretation – OSCE Guide, Musculoskeletal (MSK) X-ray Interpretation – OSCE Guide, medical MCQ quiz platform at https://geekyquiz.com, Physician Associates: insights into a new role in the NHS, Mental State Examination (MSE) – OSCE Guide, A Career as a Consultant Paramedic with Paul Gates, A Career in Nephrology with Dr Alison Armitage, A Career in Medical Law with Dr Peter Feldschreiber, A Career in Psychiatry with Dr Ahmed Hankir, Life as a New Junior Doctor (FY1/PGY1/Intern), Innovation in the NHS with Professor Tony Young. Abnormalities may include: A patient’s intensity of affect may be described as: Note if the patient’s affect appears in keeping with the content of their thoughts (known as congruency). Patients typically feel like they have no control over their emotions. It is used as a quick screening tool, usually on the hospital ward. Evidence of self-harm A collection of free medical student quizzes to put your medical and surgical knowledge to the test! Geeky Medics is a free medical education platform for medical students and other healthcare professionals. Published in December 1984. A patient sharing distressing thoughts whilst demonstrating a flat affect or laughing would be described as showing incongruent affect. Pay attention to the patient’s rate of speech: Note the quantity of the patient’s speech: Note the fluency and rhythm of the patient’s speech for abnormalities: Mood and affect both relate to emotion, however, they are fundamentally different. relaxed, angry, disengaged). A 4-item version called the Abbreviated Mental Test - 4 (AMT4) has been developed and tested. Inscrivez-vous sur Facebook pour communiquer avec Nathan Ames et d’autres personnes que vous pouvez connaître. 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. dyspepsia during treatment for ACS) Social history (What is their functional baseline – carers, dependency on ADLs?) We're really excited to announce that we've just released the Geeky Medics ANDROID APP! Thought form refers to the processing and organisation of thoughts. What is their functional baseline – carers, dependency on ADLs? in a logical order diagnosis... 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Affects morbidity and mortality with associated financial implications for the NHS of communication guides!