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Mental Status Exam
 
 

Visuospatial Processing

April 1st, 2023
 
 
 
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Constructional Ability

  • Overlapping Pentagons

  • Ask the patient to copy a diagram of overlapping pentagons.
  • Ask the patient to copy a diagram of overlapping pentagons.
  • Wire Cube

  • Ask the patient to copy a diagram of a wire cube.
  • Ask the patient to copy a diagram of a wire cube.
  • Clock

  • Ask the patient to draw a clock face with numbers and the hands at the current time.

Visual Neglect

  • Look For

  • Lack of grooming to half of the body
  • Eating half of a plate of food
  • Not acknowledging someone standing to their left / right
  • How to Assess

  • Give the patient a page with many lines oriented at various angles. Ask the patient to cross every line. Examine the page to see whether they have missed one side of the page.
  • Ask the patient to draw a clock face, looking for missing numbers on one side of the clock.
  • Significance

  • Classically a sign of contralateral stroke, though may occur with any sort of contralateral brain lesion.
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