II. Indication

  1. Dementia Evaluation
  2. Delirium Evaluation

III. Exam: Immediate Memory

  1. See Digit Span Test (digit repetition)
  2. Repeat 3 words
  3. Name the months backwards
  4. Interrupted counting
    1. Patient counts from 1 to 100
    2. Examiner interrupts at 27 and asks patient to wait 1 minute and then restart counting (at 27)
    3. Examiner interrupts at 42 and asks patient to wait 3 minutes and then restart counting (at 42)
  5. Constructional ability
    1. Copy 2 shapes (e.g. a diamond and a 3 dimensional cube)
    2. Clock Drawing Test

IV. Exam: Short Term Memory Testing (Recent memory)

  1. Three word recall at 5 minutes (or Three minute Delay Recall)
    1. Consider clues and prompts
  2. Thirty minute Delay Recall and Past Events
  3. How did you come to the hospital (e.g. car, Ambulance)?

V. Exam: Medium to Long Term Memory Testing (Remote memory)

  1. Name four presidents in the last 100 years?
  2. History of forgetting what is expected to be familiar
    1. Lose things
    2. Leave food cooking on stove
    3. Lost in familiar neighborhoods

VI. Interpretation

  1. Memory Loss or impaired construction ability suggests organic cause

VII. References

  1. Zum, Swaminathan and Egan in Herbert (2014) EM:Rap 14(7): 11-13
  2. Tomb (1992) Psychiatry, 4th Ed, Williams and Wilkins, Baltimore, p. 6-11

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Related Studies

Ontology: Memory, Short-Term (C0025265)

Definition (ICF) Mental functions that produce a temporary, disruptable memory store of around 30 seconds duration from which information is lost if not consolidated into long-term memory.
Definition (ICF-CY) Mental functions that produce a temporary, disruptable memory store of around 30 seconds duration from which information is lost if not consolidated into long-term memory.
Definition (MSH) Remembrance of information for a few seconds to hours.
Definition (GO) The memory process that deals with the storage, retrieval and modification of information received a short time (up to about 30 minutes) ago. This type of memory is typically dependent on direct, transient effects of second messenger activation. [http://hebb.mit.edu/courses/9.03/lecture4.html, ISBN:0582227089]
Definition (NCI) Short term memory related to the storage, processing and recall of information required for the accomplishment of immediate cognitive tasks.
Definition (PSY) Retention of information for very brief periods, usually seconds; also referred to as working memory. Consider also RETENTION.
Definition (CSP) temporary storage of information for a few seconds to hours, as opposed to long-term memory which refers to material stored for days, years, or a lifetime.
Concepts Mental Process (T041)
MSH D008570
SnomedCT 69262000
English Immediate Memories, Immediate Memory, Memories, Immediate, Memories, Short-Term, Memories, Shortterm, Memory, Immediate, Memory, Short Term, Memory, Short-Term, Memory, Shortterm, Short-Term Memories, Short-Term Memory, Shortterm Memories, Shortterm Memory, Immediate memory, function, immediate memory, short-term memory, working memory, short-term memory (physical finding), Short-term memory, Working Memories, Working Memory, memory short-term, memory working, memory short term, memory work, short term memory, Immediate memory, Immediate memory, function (observable entity), Immediate memory (function), Short Term Memory
Swedish Korttidsminne
Finnish Lähimuisti
Russian OPERATIVNYI OTVET, PAMIAT' OPERATIVNAIA, PAMIAT' KRATKOVREMENNAIA, ОПЕРАТИВНЫЙ ОТВЕТ, ПАМЯТЬ КРАТКОВРЕМЕННАЯ, ПАМЯТЬ ОПЕРАТИВНАЯ
Japanese 記憶-直接, 短期間記憶, 直接記憶, 直接再生, 記憶-短期, 短期記憶
Italian Memoria di lavoro, Memoria immediata, Memoria a breve termine
Portuguese Memória de Trabalho, Memória Operacional, Memória de Curto Prazo, Memória Imediata
Spanish Memoria de Trabajo, Memoria a Corto Plazo, Memoria Operativa, Memoria Reciente, Memoria de Corto Plazo, memoria inmediata (entidad observable), memoria inmediata (función), memoria inmediata, Memoria Inmediata
Croatian PAMĆENJE, KRATKOTRAJNO
Czech krátkodobá paměť, pracovní paměť, bezprostřední paměť
Polish Pamięć krótkotrwała, Pamięć świeża, Pamięć bezpośrednia
Norwegian Korttidshukommelse, Arbeidshukommelse, Korttidsminne
German Gedächtnis, Sofort-, Kurzzeitgedächtnis
Dutch Geheugen, onmiddellijk, Kortetermijngeheugen
French Mémoire immédiate, Mémoire à court terme

Ontology: Memory, Long-Term (C0423909)

Definition (ICF) Mental functions that produce a memory system permitting the long-term storage of information from short-term memory and both autobiographical memory for past events and semantic memory for language and facts.
Definition (ICF-CY) Mental functions that produce a memory system permitting the long-term storage of information from short-term memory and both autobiographical memory for past events and semantic memory for language and facts.
Definition (MSH) Remembrance of information from 3 or more years previously.
Definition (GO) The memory process that deals with the storage, retrieval and modification of information a long time (typically weeks, months or years) after receiving that information. This type of memory is typically dependent on gene transcription regulated by second messenger activation. [http://hebb.mit.edu/courses/9.03/lecture4.html, ISBN:0582227089]
Definition (PSY) Retention of events or learned material for relatively long periods, presumed to be based on permanent encoding and storage of information transferred from short term memory. Consider also RETENTION.
Definition (CSP) memory that is retained over a long period of time; thought to be accompanied by structural alterations on two levels of synaptic organization, 1) a change in the number, size and vesicle component of synapse active zones, and 2) a modulation of the total number of synaptic varicosities.
Concepts Mental Process (T041)
MSH D057567
SnomedCT 247586003
English long-term memory, Long-Term Memories, Memories, Long-Term, Memory, Long Term, Memory, Long-Term, long term memory, Memories, Longterm, Memory, Longterm, Longterm Memories, Longterm Memory, Long-Term Memory, LMT - Long-term memory, LTM - Long-term memory, Long-term memory performance, Long-term memory, Long-term memory performance (observable entity), Long Term Memory
French Mémoire à long terme, MLT (Mémoire à Long Terme)
German Gedächtnis, Langzeit-, Gedaechtnis, Langzeit-, Langzeitgedaechtnis, Langzeitgedächtnis
Czech dlouhodobá paměť
Italian Memoria a lungo termine
Russian ТРЕТИЧНАЯ ПАМЯТЬ, ДОЛГОВРЕМЕННАЯ ПАМЯТЬ, TRETICHNAIA PAMIAT', ПАМЯТЬ ДОЛГОВРЕМЕННАЯ, PAMIAT' DOLGOVREMENNAIA, DOLGOVREMENNAIA PAMIAT'
Portuguese Memória de Longo Prazo
Spanish Memoria a Largo Plazo, Memoria de Largo Plazo, desempeño de la memoria a largo plazo (entidad observable), desempeño de la memoria a largo plazo
Polish Pamięć długotrwała
Croatian PAMĆENJE, DUGOTRAJNO
Norwegian Langtidshukommelse, Langtidsminne

Ontology: Memory observations (C0700327)

Concepts Finding (T033)
SnomedCT 225035009, 106136008
English Memory observations, Observat relat retent informat, Observatns relating to memory, memories, memory, clinical findings relating to memory, Memories, Observations relating to retention of information, Observations relating to memory, Memories (observable entity), Memory finding (finding), Memory finding
Spanish hallazgo en el área de la memoria (hallazgo), hallazgo en el área de la memoria, memorias (entidad observable), memorias, recuerdos (entidad observable), recuerdos