Coma physical examination: Difference between revisions
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{{CMG}} '''Associate Editor(s)-in-Chief:''' [[User:Raviteja Reddy Guddeti|Raviteja Guddeti, M.B.B.S.]][mailto:ravitheja.g@gmail.com] | {{CMG}} '''Associate Editor(s)-in-Chief:''' [[User:Raviteja Reddy Guddeti|Raviteja Guddeti, M.B.B.S.]][mailto:ravitheja.g@gmail.com] | ||
==Overview== | ==Overview== | ||
Neurological examination and eye | Neurological examination and eye examination are very useful to identify underlying problem in the brain. | ||
==Physical Examination== | |||
The severity of coma impairment is categorized into several levels. Patients may or may not progress through these levels. In the first level, the brain responsiveness lessens, normal reflexes are lost, the patient no longer responds to pain and cannot hear. | |||
Contrary to popular belief, a patient in a coma does not always lie still and quiet. They may move, talk, and perform other functions that may sometimes appear to be conscious acts but are not.<ref>[http://news.bbc.co.uk/2/hi/europe/6715313.stm BBC NEWS | Europe | Pole wakes up from 19-year coma]</ref> | |||
Two scales of measurement often used in [[Traumatic Brain Injury|TBI]] diagnosis to determine the level of coma are the [[Glasgow Coma Scale]] (GCS) and the [[Rancho Los Amigos Scale|Ranchos Los Amigos Scale]](RLAS). The GCS is a simple 3 to 15-point scale (3 being the worst and 15 being that of a normal person) used by medical professionals to assess severity of neurologic trauma, and establish a prognosis. The RLAS is a more complex scale that has eight separate levels, and is often used in the first few weeks or months of coma while the patient is under closer observation, and when shifts between levels are more frequent. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Intensive care medicine]] | [[Category:Intensive care medicine]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
[[Category:Central nervous system]] | [[Category:Central nervous system]] | ||
[[Category:Needs content]] | [[Category:Needs content]] | ||
Latest revision as of 21:01, 29 July 2020
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Coma Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Coma physical examination On the Web |
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American Roentgen Ray Society Images of Coma physical examination |
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Risk calculators and risk factors for Coma physical examination |
Please help WikiDoc by adding more content here. It's easy! Click here to learn about editing.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S.[4]
Overview
Neurological examination and eye examination are very useful to identify underlying problem in the brain.
Physical Examination
The severity of coma impairment is categorized into several levels. Patients may or may not progress through these levels. In the first level, the brain responsiveness lessens, normal reflexes are lost, the patient no longer responds to pain and cannot hear.
Contrary to popular belief, a patient in a coma does not always lie still and quiet. They may move, talk, and perform other functions that may sometimes appear to be conscious acts but are not.[1]
Two scales of measurement often used in TBI diagnosis to determine the level of coma are the Glasgow Coma Scale (GCS) and the Ranchos Los Amigos Scale(RLAS). The GCS is a simple 3 to 15-point scale (3 being the worst and 15 being that of a normal person) used by medical professionals to assess severity of neurologic trauma, and establish a prognosis. The RLAS is a more complex scale that has eight separate levels, and is often used in the first few weeks or months of coma while the patient is under closer observation, and when shifts between levels are more frequent.