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Y4R3 - Medicine II 🩺 > L11: Coma > Flashcards

L11: Coma Flashcards

1
Q

Consciousness

A
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2
Q

Wakefulness

A

arousal, vigilance, alertness

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3
Q

Awareness

A

self or environment

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4
Q
  • No awareness without wakefulness
  • Wakefulness can occur without awareness (vegetative state)
A

….

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5
Q

Def of Coma

A
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6
Q

Def of Coma

  • The Eyes
A

Closed & do Not open spontaneously or to verbal command (E2).

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7
Q

Def of Coma

  • Awareness & Arousal
A

No

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8
Q

Def of Coma

  • Verbal Stimulation
A

No Response

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9
Q

Def of Coma

  • Painful Stimulation
A
  • No response or non-purposeful reflex movements mediated through spinal cord or brainstem pathways.
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10
Q

Def of Coma

  • speech
A

No Spontaneous Speech or Movement

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11
Q

Def of Coma

  • Movemenmt
A

No Purposeful movement of the face or limbs

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12
Q

Def of Coma

  • Duration
A

Lasts > 1h (of syncope and concussion)

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13
Q

Def of Coma

  • Noxiuos Stimuli
A
  • Vocalization → limited or Absent (V2)
  • Motor activity → Absent/Abnormal/Reflexive (not purposeful or defensive) (M4)
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14
Q

Coma is Characterized by …..

A
  1. No sleep wake cycles.
  2. Transitional.
  3. Injury or functional disruption of bilateral cortical structures or ARAS.
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15
Q

Causes of Coma

A
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16
Q

Causes of Coma

  • Structural
A
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17
Q

Causes of Coma

  • Metabolic
A
18
Q

Generalized Neuronal Dysfunction

A
19
Q

Diffrentiating Features of Metabolic Coma

A
20
Q

GCS

A
21
Q

GCS

  • Eye
A
22
Q

GCS

  • Verbal
A
23
Q

GCS

  • Mltor
A
24
Q

GCS

  • Interpretation
A
25
Q

Basic Approach to trauma sccording to GCS

A
26
Q

Basic Approach to trauma sccording to GCS

  • GCS 15
A
  • Age < 65
  • No clinical evidence skull
  • No retrograde amnesia
  • No seizure
  • No significant mechanism of injury or serious assault
27
Q

Basic Approach to trauma sccording to GCS

  • Otehrwise
A

CT

27
Q

Basic Approach to trauma sccording to GCS

  • GCS 13-14
A

but 15 within 2 hours of injury and above

28
Q

General Ex of Coma

A
29
Q

INVx for Coma

A
30
Q

INVx for Coma

  • Blood
A
31
Q

INVx for Coma

  • CT
A
32
Q

INVx for Coma

  • Lumbar Puncture
A
33
Q

INVx for Coma

  • Pupillary Respones
A
34
Q

INVx for Coma

  • EEG
A
35
Q

Initaial TTT of Coma

A
36
Q

Initaial TTT of Coma

  • Airway
A
37
Q

Indications of Intubation in Coma

A
38
Q

Breathing management in Coma

A
39
Q

Circulation Managemnet oin Coma

A
40
Q

Disability Management in Coma

A

Y4R3 - Medicine II 🩺 (35 decks)

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