B7.049 Disorders of Consciousness

Question 1

common caused of subtentorial coma

Answer 1

stroke
pontine or cerebellar hemorrhage
basilar artery occlusion

Question 2

treatment for basilar artery occlusion

Answer 2

IV tPA

call IR for angiogram

Question 3

how to determine if a coma is psychogenic

Answer 3

look for fast eye movements
-cold calorics ( 5 ccs)
look for eye tracking
-see if eyes land on objects in room

Question 4

is it considered “chill” to drop a patient’s hand on their face

Answer 4

gronseth seemed kinda uptight about this idk

Question 5

but wait, can you use 50 ccs of ice water and shoot it into an ear hole

Answer 5

gronseth also not cool with this one….kind of weird

Question 6

common cause of supratentorial mass lesion

Answer 6

subdural hematoma

Question 7

how to distinguish diencephalic from metabolic?

Answer 7

not easy

look for obvious metabolic stuff, if negative do stat CTA of head to look for top of basilar artery occlusion