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Alteration of consciousness2
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Alteration of consciousness2
1.
Alteration of Consciousness
2.
Reticular activating system
(RAS)
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
COMA
18.
19.
Glasgow Coma Scale
: Eye opening (E)
20.
Glasgow Coma Scale
: Motor response (M)
21.
Glasgow Coma Scale
: Verbal response (V)
22.
23.
24.
25.
26.
Decorticate posture results
from damage to one or both corticospinal tracts
27.
Decerebrate posture results
from damage to the upper brain stem
28.
29.
30.
31.
Doll’s eye maneuver
(Oculocephalic reflex) Cold caloric test (Oculovestibular reflex)
32.
33.
Eye movements
Condition Awake Cerebral dysfunction, brainstem intact Brain stem lesion Doll’s eyes Negative Positive Negative Condition Awake Cerebral dysfunction, brainstem intact Brain stem lesion Cold calorics Nystagmus, N/V, pain Slow deviation toward water Negative
34.
Respiratory patterns
35.
36.
37.
38.
39.
40.
COMA LOCALIZING SIGN
NO LOCALIZING SIGN SUPRATENTORIAL INFRATENTORIAL NO STIFF NECK STIFF NECK - CVD - TUMOUR - ABSCESS STRU C TURAL DAMAGE FUNCTIONAL NEURONAL DEPRESSION - HYPOXIA - CARDIAC ARREST - ENCEPHALITIS - HEPATIC - URAEMIC - POST ICTAL STATE - FLUID ELECTROLYTE IMBALANCE - DRUGS - SAH - MENINGITIS
41.
42.
43.
44.
45.
46.
Notes de l'éditeur
From clinical data directed to lab test
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