PCAM

• appearance and behavoir
• speech and language
• thoughts and perception
• mood and cognition

• grooming, hygeine, clothing, facial expressions, appearance compared to age, etc
• attitude towards interviewer/others
• degree of eye contact
• level of distress

an observable, usually episodic, feeling/tone expressed through voice, facial expression, and demeanor (today's temperature)

• a more sustatined emotion that may color a person's view of the world
• Mood is to affect as climate is to temperature

• quality
• intensity
• amplitude
• range
• reactivity
• appropriateness

subjective feeling of motor restlessness manifested by a compelling need to be in constant movement; may be seen as an extrapyramidal adverse effect of antipsychotic medication; may be mistaken for psychotic agitation

any disturbance in the comprehension (receptive aphasisa - Wernicke's) or expression (expressive aphasia - Broca's) of language caused by a brain lesion.

aphasia characterized by inabiltiy to understand the spoken word; speech is fluent (articulation and inflection preserved) but devoid of meaning

disturbance of speech in which understanding remains, but speech output is impaired (nonfluent, telegraphic, and often minimal)

lack/loss of muscular coordination

the ability to focus or concentrate over time on one task or activity - an inattentive or distractible person with impaired consciousness has difficulty giving a history or responding to questions

abnormally increased muscle tone (posturing, rigidity, waxy flexibility) and decreased responsiveness (mutism, negativism) usually resutling in stuporous immobility (stupor) but ocassionally resutling in frenzied or excited motor activity (excitement)

"work-like" - movement disorder characterized by random and involuntary quick, jerky, purposeless movements

• acute reversible mental disorder characterized by confusion and some impairment of consciouness; generally associated with emotional liability, hallucinations/illusions, and inapprorpirate, impulsive, irrational, and violent behavoir
• abrupt onset
• memory disturbance
• hallucinations are common
• abnormal level of consciousness/arousal
• reversible
• symptoms wax and wane over 24 hour period

• mental disorder characterized by general impairment in intellecutal functioning without clouding of consciousness; characterized by failing memory, difficulty with calculations, distractability, aalterations i mood and affect, impaired judgment, and orientation. gradual onset
• memory disturbance
• normal level of consiousness/arousal
• irreversible often due to underlying progressive degenerative disease
• hallucinations - common only in advanced stage

difficult and defective speech due to impairment of the tongue or other muslces essential to speech (difficulty in articulation)

extrapyramidal motor disturbance consisting of slow, sustained contractions of the axial or appendicular musculatrue; one movement often predominates, leading to relatively sustained postural deviations

ability to identify a letter or number traced on the skin

awareness of personal identity, place, and time; requires both memory and attention

temporary loss of consciousness and posture

brief, repetitive, steroptyped, coordinated movements occuring at irregular intervals

repetitive behavoirs/mental acts that a person feels drivent to perform in response to an obsession, or according to rules that must be applied rigidly

reccurent, intrusive, and persisitent thoughts, images, or impulses that a person considers unacceptable and alien

false, fixed, personal beliefts that are nto shared by other members of the person's culture or subculture

an alteration in the percepton of experience of one's self or who you are

an alteration in the perception or experience of the external world, so that external world seems strange/unreal

subjective sensory perceptions in the absence of releveant external stiumli

thought of causing physical harm to others

persistent, irrational fears, accompanied by a compelling desire to avoid the stimulus

thought of taking one's own life

speech in which a person shifts from one subject to others that are unrelated/related only obliquely without realizing that subjects are not meaningfully connected; ideas slip off the track between clauses, not within them

relatively rhythmic oscillatroy movements

I, II, III, IV, VI (1-4,6)

• Olfactory
• sense of smell

• Optic
• visual acuity & visual fields, optic fundi, pupillary reactions

• Oculomotor
• pupillary reactions, most extraocular movements, upper eyelid elevation

• Trochlear
• downward inward movement of each eye

• Abducens
• abduction (lateral movement) of each eye

V, VII, VIII (5, 7. 8)

• Trigeminal
• Motor- jaw clenching and lateral movement
• Sensory - corneal reflexes and facial sensations

• Facial
• Motor - facial movements (facial expressions, closing the eye, closing the mouth)
• Sensory - taste for salty, sweet, sour, and bitter on anterior 2/3 of tongue

• Acoustic (Vestibulocochlear)
• hearing (cochlear) and balance (vesbiular)

IX, X, XI, XII (9-12)

• Glossopharyngeal
• Motor - pharynx
• Sensory - posterior portions of ear drum and ear canal, pharynx, posterior tongue, taste (salty, sweet, sour and bitter)

• Vagus
• Motor - palate, pharynx, larynx
• Sensory - pharynx, larynx

• Spinal Accessory
• shoulder and neck movements

• Hypoglossal
• tongue symmetry and position

III, IV, VI, VII, XI, XII

V, VII, IX, X

I, II, VIII