Matthew? Can you tell
me what the date is today? 29th of April. What's the day of the week? [inaudible]. And the year? 1994. Good. And what's the season? Spring. Good. Can you give
me your address? 2021 Da Street. Mass. And what's the state? Wisconsin. And the county? Dean. Good. The patient incorrectly identified the month
and day of the week. He receives eight out of a possible 10 points
for orientation. Matthew, I'm going
to name three objects, and after I say them, I'd like you to repeat them and then file them away
for a little bit later. The objects are money, book, and water. Can you say those? Money, books and water. Good. The patient receives
one point for each item. The number of trials was one. Now, Matt, we're
going to do some math. We're going to take 100
and subtract seven. And then I want you to
tell me that answer and then subtract
seven and keep going. Do you think you can do that? I'll try. Go ahead. Seven
from 100 is 93. And and seven from 93 is, 90. Let me see. And seven from 90 is 83. And seven from 83 is 77. And seven from 77 is 60. And seven from 60 is 67. That's all I need, Matt. If some calculations are
correct and others are not, count as correct
those where seven was accurately subtracted
from the previous value. This patient receives two
points for this section. Now, can you tell me the three words that we just
talked about a few minutes. Water and. How was that. Take your time.
That's all right. And the one was water. You're right. The patient was
able to recall one of the three items
learned earlier. He receives one point
on the recall section. Matt. Can you tell
me what this is? A pencil And can you tell
me what this is? A watch. Now, repeat after me, no ifs, ands or buts. No ifs, ands or buts. Good. Now, Matt, I'm going to give
you a three part command. I'm going to have
you take a piece of paper in your right hand, fold it in half and
put it on the floor. Fold in half? The patient correctly
identified the two objects, was able to repeat the phrase, but missed the first part
of the three step command. Now, I'd like you to look at this
sentence and do what it says. Right there. I see what it says. Can you do that? Yeah. So you have. Matt. And now, I'd like you to write your own sentence right
in this space here. Can you do that for
me? Write a sentence. The patient
correctly completed the final two tasks of
the language section. He received seven of a possible eight points
on this section. And then I'd like you to copy this design over here
on the side there for me. One pentagon contains four angles and the
figures do not intersect. The patient receives no point for visual spatial perception. Thank you, Matt. I'll tally up your score for you here. Remember that the mini mental does not take the place of a complete clinical appraisal in evaluating a patient with
cognitive disturbance. You got 21 out of 30, and I think that's pretty
close to your score last time. So it stayed about the same. [inaudible]. Thanks, Matt. [MUSIC]