Categories
  Encyclosphere.org ENCYCLOREADER
  supported by EncyclosphereKSF

Coma (OSCE)

From Wikiversity - Reading time: 3 min

Causes of Coma

[edit | edit source]
  • One Mnemonic is “GAMETIMES”:
  • G glucose (hyperosmolar or hypoglycemia)
  • A anoxia, acidosis, alcohol’s
  • M medications (one of the most common causes)
  • E electrolytes, “environment” (hypothermia)
  • T tumor, toxins, trauma
  • I infections (e.g. meningitis, encephalitis, sepsis)
  • M Metabolic, adrenal, renal, hepatic, (diabetes listed above)
  • E epilepsy
  • S stroke, (P)sychiatric pseudocoma

The Glasgow Coma Scale

[edit | edit source]
Eye opening Best Motor Response Verbal Response
Spontaneous 4 Follows commands 6 Orientated 5
To speech 3 Localizes to painful stimuli 5 Confused conversation 4
To pain 2 Withdrawal from pain 4 Inappropriate words 3
No response 1 Flexion reflex response to pain 3 Incomprehensible sounds 2
Extension reflex response to pain 2 No response 1
No response 1

Neurological Exam

[edit | edit source]
Function Normal Diencephalon Midbrain Pons
Respiration Normal Cheyne-Stokes Regular, hyperventilation Irregular, erratic
Pupil Size and Response to light Normal Small, Reactive Mid-position, fixed Pinpoint Reactive
Oculovestibular Reflex Suppressed Constant (tonic) deviation Dysconjugate gaze No response
Motor response to pain Appropriate Decorticate

(arms flexor response)

Decerebrate (all extensor response) No response

Other OSCE Modules

[edit | edit source]
Licensed under CC BY-SA 3.0 | Source: https://en.wikiversity.org/wiki/Coma_(OSCE)
13 views | Status: cached on May 05 2025 12:21:15
↧ Download this article as ZWI file
Encyclosphere.org EncycloReader is supported by the EncyclosphereKSF