Sign in to follow this  
Followers 0
william

Man who stripped naked and jumped off boat

9 posts in this topic

What did people do after they did frontal lobe tests. Did anyone do history?

1 person likes this

Share this post


Link to post
Share on other sites

What sort of history did people take from the wife. I did a sort of dementia one.

1 person likes this

Share this post


Link to post
Share on other sites

What sort of history did people take from the wife. I did a sort of dementia one.

 

 

The lady gave me the history of head injury only after a lot of probing Qs. It took the initial few minutes. Then when I aske dif she has noticed any changes in him after that, she said he became frustrated , sad, apathstic, so I needed to ask more about that.

Ruled out depression, suicidal ideations, previous h/o similar presentations. Then went on to ask any memory difficulties, behavioural changes and personality changes! And in the end managed to ask family h/o dementia.

 

In the next station, did the frontal lobe tests first and then the MMSE!!

1 person likes this

Share this post


Link to post
Share on other sites

Can anyone please advise on how they passed this station.

Share this post


Link to post
Share on other sites

I've got an A in this one. Actor was quite guarded but more opened after I've got to the accident. I did dementia screening but starting with the behavioural changes. Screened for inappropriate behaviours, apathy, psychiatric symptoms. Ruled out alcohol. Asked about impact on life. Medical, psychiatric hx.

Share this post


Link to post
Share on other sites

Can anyone please advise on how they passed this station.

Passed with a B

 

The lady was guarded to me as well initially and had to probe her a lot. When asked about has she noticed any changes in her Husband recently, she said yes, how long, for past 9months, anything particularly happened at that time, head on collision.

Asked details of the accident, time of LOC, recovery, any investigations and any abnormal findings, she said he was discharged the same day. Did she notice any change sin his speech, mobility - NO

Then asked in specific about the 4 core symptoms:

Behavioural

Personality

Psychiatric- mood changes, apathy, tearfulness

Dementia

 

Rule out depression and suicidal ideas

Risk to others- any irritability ended up in physical aggression

Neglect- wel will cover this ADLs when asking about memory

 

Any medical, past psychiatric, medication

premorbid personality - This I ask at the beginning as the actor was not very forthcoming.

 

I thanked her, briefly summarised about the positive findings and left

2 people like this

Share this post


Link to post
Share on other sites

I've got an A in this one. Actor was quite guarded but more opened after I've got to the accident. I did dementia screening but starting with the behavioural changes. Screened for inappropriate behaviours, apathy, psychiatric symptoms. Ruled out alcohol. Asked about impact on life. Medical, psychiatric hx.

Share this post


Link to post
Share on other sites

And also lots of empathy for her, acknowledged how difficult it must be to see her husband acting so strange.

2 people like this

Share this post


Link to post
Share on other sites

 

Can anyone please advise on how they passed this station.

Passed with a B

 

The lady was guarded to me as well initially and had to probe her a lot. When asked about has she noticed any changes in her Husband recently, she said yes, how long, for past 9months, anything particularly happened at that time, head on collision.

Asked details of the accident, time of LOC, recovery, any investigations and any abnormal findings, she said he was discharged the same day. Did she notice any change sin his speech, mobility - NO

Then asked in specific about the 4 core symptoms:

Behavioural

Personality

Psychiatric- mood changes, apathy, tearfulness

Dementia

 

Rule out depression and suicidal ideas

Risk to others- any irritability ended up in physical aggression

Neglect- wel will cover this ADLs when asking about memory

 

Any medical, past psychiatric, medication

premorbid personality - This I ask at the beginning as the actor was not very forthcoming.

 

I thanked her, briefly summarised about the positive findings and left

 

 

Disinhbition  at other times, increase in appetite with a sweet tooth and increase in Alcohol use will be other times. Also you may ask about flashbacks of the accidents as a D/D. You may also like to take a family history of memory problems.

1 person likes this

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!


Register a new account

Sign in

Already have an account? Sign in here.


Sign In Now
Sign in to follow this  
Followers 0