| Approach to the child with coma. | |
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MedLine Citation:
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PMID: 20830533 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Coma and other states of impaired consciousness represent a medical emergency. The potential causes are numerous, and the critical window for diagnosis and effective intervention is often short. The common causes of non-traumatic coma include central nervous system infections, metabolic encephalopathy (hepatic, uremic, diabetic ketoacidosis etc.), intracranial bleed, stroke and status epilepticus. The basic principles of management include 1) Rapid assessment and stabilization, 2) Focussed clinical evaluation to assess depth of coma, localization of lesion in the central nervous system and possible clues to etiology, and 3) Treatment including general and specific measures. Commonly associated problems such as raised intracranial pressure and seizures must be recognized and managed to prevent secondary neurologic injury. |
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Authors:
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Suvasini Sharma; Gurpreet Singh Kochar; Naveen Sankhyan; Sheffali Gulati |
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Publication Detail:
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Type: Journal Article Date: 2010-09-10 |
Journal Detail:
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Title: Indian journal of pediatrics Volume: 77 ISSN: 0973-7693 ISO Abbreviation: Indian J Pediatr Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-03-17 Revised Date: 2011-08-24 |
Medline Journal Info:
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Nlm Unique ID: 0417442 Medline TA: Indian J Pediatr Country: India |
Other Details:
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Languages: eng Pagination: 1279-87 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, Child Neurology Division, All India Institute of Medical Sciences, New Delhi, 110029, India. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Central Nervous System Infections
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complications Child Clinical Protocols Coma / diagnosis*, etiology, therapy* Encephalocele / complications, diagnosis Humans Intensive Care Units, Pediatric Intracranial Pressure Neurologic Examination Terminology as Topic |
| Comments/Corrections | |
Comment In:
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Indian J Pediatr. 2011 Jul;78(7):890-1
[PMID:
21404016
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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