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The history should generally be supplemented by information obtained from a person other than the patient, because, through lack of insight, the patient will have no grasp of his illness or its gravity; indeed, he may be ignorant even of his chief complaint Special inquiry should be made about the patient s general behavior, capacity for work, personality changes, language, mood, special preoccupations and concerns, delusional ideas, hallucinatory experiences, personal habits and care in hygiene, and such faculties as memory and judgment The examination of the mental status should be systematic and include some of the following general categories with suggested examples for testing as modi ed for each patient s circumstances: 1 Insight (patient s replies to questions about the chief symptoms): What is your dif culty Are you ill When did your illness begin Orientation (knowledge of personal identity and present situation): What is your name, address, telephone number What is your occupation Are you married a Place: What is the name of the place where you are now (building, city, state) How did you get here What oor is it on Where is the bathroom b Time: What is the date today (day of week and of month, month, year) What time of the day is it What meals have you had When was the last holiday Memory a Remote: Tell me the names of your children (or grandchildren) and their birth dates When were you married What was your mother s maiden name What was the name of your rst schoolteacher What jobs have you held We also nd it useful to quiz the patient about cultural icons of the past that are appropriate to his age Most patients should be able to name the presidents in reverse order dating to their twenties b Recent past: Tell me about your recent illness (compare with previous statements) What is my name (or the nurse s name) When did you see me for the rst time What tests were done yesterday What were the headlines of the newspaper today c Immediate recall (attention and short-term memory ): Repeat these numbers after me (give series of 3, 4, 5, 6, 7, 8 digits at a speed of one per second) Now when I give a series of numbers, repeat them in reverse order d Memorization (learning): The patient is given three or four simple data (examiner s name, date, time of day, and a fruit, structure, or trait, such as honesty we use a red ball, Beacon Street, and an envelope ) and is asked to repeat them after a minute or a brief story containing several facts and is asked to recount the main. pdf417 c# PDF-417 C# Control - PDF-417 barcode generator with free C# ...
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