Notes in 02_Coma

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Published 02/10/2024 {{c1::Coma}} is {{c2::a state of unrousable psychological unresponsiveness in which the subjects lie with eyes closed and show no psychologically unde…
Published 02/10/2024 Presentation of {{c2::Coma}}{{c1::+/- Meningism}} {{c1::+/- Focal neurological deficit}} {{c1::A state of unresponsiveness (GCS ≤ 8)}}
Published 02/10/2024 Causes of Coma without Meningism or Focal neurological deficit{{c1::Toxic/Metabolic/Systemic e.g. overdose, liver failure, sepsis, hypoglycaemia}}
Published 02/10/2024 Causes of Coma with Meningism but no Focal neurological deficit{{c1::Subarachnoid haemorrhage}} {{c1::Meningoencephalitis}}
Published 02/10/2024 Causes of Coma with Meningism and Focal neurological deficit{{c1::Focal cerebral lesions e.g. tumour, infarct, haemorrhage, abscess}}
Published 02/10/2024 Investigations of Coma{{c1::Blood samples (Glucose, biochemistry, haematology, blood gas, toxicology)}} {{c1::Establish BP, pulse, temp}} {{c1::IV acc…
Published 02/10/2024 Glasgow Coma ScaleEye Opening{{c1::Sponatenous ‒ 4}}{{c1::To speech ‒ 3}}{{c1::To pain ‒ 2 }}{{c1::None ‒ 1}}
Published 02/10/2024 Glasgow Coma ScaleVerbal Response{{c1::Orientated ‒ 5}}{{c1::Confused ‒ 4}}{{c1::Inappropriate words ‒ 3}}{{c1::Incomprehensible sounds ‒ 2}}{{c1::Non…
Published 02/10/2024 Glasgow Coma ScaleMotor Response{{c1::Obeying commands ‒ 6}}{{c1::Localising to pain  ‒ 5}}{{c1::Withdrawing from pain ‒ 4}}{{c1::Flexing to pain…
Published 02/10/2024 Investigations for Coma without Meningism or Focal neurological deficit {{c1::Toxicology screen including alcohol level}} {{c1::Measure blood sugar an…
Published 02/10/2024 Investigations for Coma with Meningism +/- Focal neurological deficit {{c1::CT head scan}} {{c1::Lumbar puncture}}{{c1::MRI}}
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