| Evaluation of the comatose patient. | |
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MedLine Citation:
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PMID: 6569615 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This article has emphasized a basic approach to coma. First, the patient must have airway, breathing, and circulation protected. If the etiology of coma is in doubt, a broad metabolic screen is necessary. Table 5 demonstrates the major differences between structural and metabolic coma. Usually, history alone is sufficient to make an accurate diagnosis. If history or neurologic examination suggests a structural cause for the coma, then a cranial CT scan is mandatory. An electroencephalogram is often helpful, particularly in metabolic coma, and at times may even show structural abnormalities not demonstrated by CT scan. Rapid assessment and treatment is critical because coma is the clinical manifestation of brain failure, and often irreversible injury will occur if treatment is slow or incorrect. |
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Authors:
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B L Miller; H B McIntyre |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Primary care Volume: 11 ISSN: 0095-4543 ISO Abbreviation: Prim. Care Publication Date: 1984 Dec |
Date Detail:
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Created Date: 1985-02-15 Completed Date: 1985-02-15 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0430463 Medline TA: Prim Care Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 693-706 Citation Subset: IM |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arousal Brain Diseases / diagnosis Brain Injuries / diagnosis Coma / etiology*, therapy Decerebrate State Eye Movements Hemodynamics Humans Male Neuropsychological Tests Prognosis Reflex, Pupillary Respiration, Artificial |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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