Cognitive or brain functionality assessment
The cognitive domains - assess each, do not just record a score
| Domain | Bedside test | Localisation |
|---|---|---|
| Attention | Serial 7s, months backwards, digit span (normal >=5-7 forwards) | Frontal, subcortical, impaired in delirium |
| Memory - episodic | 3-word or 5-word recall at 5 min, with cueing | Medial temporal / hippocampus |
| Language | Naming, comprehension, repetition, fluency | Dominant frontal/temporal |
| Visuospatial | Clock drawing, intersecting pentagons, cube copy | Non-dominant parietal |
| Executive | Verbal fluency, Luria 3-step, trail making, go/no-go, similarities | Frontal |
| Praxis | Pantomime tool use, imitate gestures | Dominant parietal |
| Social cognition / behaviour | Collateral history | Frontal, anterior temporal |
- *The pattern of deficits localises; the total score does not*
18 more sections, plus exam facts
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