Neurology Book


Orientation Exam

Aka: Orientation Exam, Disorientation, Cognitive Orientation
  1. See Also
    1. Mental Status Exam
    2. Level of Consciousness
    3. Appearance, Behavior and Attitude Exam
    4. Attention and Concentration
    5. Higher Integrative Function (Executive Function, Intellectual Function)
    6. Thought Process ( Thought Content, Thought Form, Delusion, Obsession, Abstract Thought)
    7. Speech Exam
    8. Affect Examination
    9. Insight and Judgement
    10. Memory Evaluation
    11. Perception Exam ( Misperception, Illusion, Hallucination)
  2. Exam
    1. Person (name, age, year of birth)
    2. Place (current location, home address)
    3. Time (date, day of week, time of day, season, month)
      1. Time is the first orientation factor to be lost
    4. Situation (reason for encounter)
  3. Interpretation
    1. Minor Disorientation may be induced by stressors
    2. Major Disorientation or decreased alertness suggests organic cause (see Delirium)
  4. 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

Disorientation (C0233407)

Concepts Mental or Behavioral Dysfunction (T048)
MSH D003221
ICD10 R41.0
SnomedCT 207613006, 206799007, 274645001, 62476001
LNC MTHU013516
English DISORIENTATION, Disorientation, unspecified, [X]Disorientation, unspecified, disorientation (symptom), disorientation, Orientation disturbed, disoriented, Disturbed;orientation, disorientated, disorient, [X]Disorientation, unspecified (finding), [X]Disorientation, unspecified (situation), Disorientation, unspecified (finding), Disoriented, Disturbance of orientation, Disorientated, Orientation confused, Orientation poor, Disorientated (finding), Disorientation, NOS, Disturbance of orientation, NOS, Disorientation, disturbed orientation, [X]Disorientation, unspecified (context-dependent category)
Italian Disorientamento, Disorientato, Orientamento alterato
Dutch gedesoriënteerd, gestoorde oriëntatie, Desoriëntatie, niet gespecificeerd, desoriëntatie
French Désorienté(e), Orientation altérée, Désorientation, DESORIENTATION
German Orientierung gestoert, desorientiert, DESORIENTIERTHEIT, Orientierungsstoerung, nicht naeher bezeichnet, Orientierungsstoerung
Portuguese Orientação perturbada, Desorientado, DESORIENTACAO, Desorientação
Spanish Desorientado, Orientación alterada, [X]desorientación, no especificada (categoría dependiente del contexto), DESORIENTACION, [X]desorientación, no especificada, [X]desorientación, no especificada (hallazgo), desorientación, no especificada (hallazgo), desorientación, no especificada, alteración de la orientación, desorientación, desorientado (hallazgo), desorientado, trastornos de la orientación (hallazgo), trastornos de la orientación, Desorientación
Japanese 見当識障害, 失見当識, シツケントウシキ, ケントウシキショウガイ
Czech Narušená orientace, Dezorientace, Dezorientovaný
Korean 상세불명의 지남력상실
Hungarian Desorientált, Desorientatio, Zavart orientáció
Norwegian Desorientering
Derived from the NIH UMLS (Unified Medical Language System)

Cognitive Orientation (C0517217)

Definition (NOC) Ability to identify person, place, and time accurately
Concepts Finding (T033)
English Cognitive Orientation, Cognitive orientation
Derived from the NIH UMLS (Unified Medical Language System)

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