2011 results
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma ... • Anisocoria + Coma ... etiology for the coma ... be present in coma ... caseyalbin #PhysicalExam
Hippus is the normal rhythmic fluctuations of the pupil as the pupil dilates and constricts. Testing
Come see us if you ... #iris #ocular #physicalexam
Intact Corneomandibular (Wartenberg) Reflex

Patient with pontine hemorrhage without impaired consciousness - Left corneal stimulation triggers contralateral
in patients in coma ... Reflex #Intact #PhysicalExam
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
hypothyroidism/Myxedema coma ... Differential #Diagnosis #PhysicalExam
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
secondary to diabetic coma ... Abnormal #Diagnosis #PhysicalExam
Pupil Reactivity Score (GCS-P) Addition to the Glasgow Coma Score

#GCSP #Glasgow #Coma #Score #Pupillary #Scale #Diagnosis
to the Glasgow Coma ... GCSP #Glasgow #Coma
Crystalloid pH, Contents and Costs Compared
Plasma	pH 7.4
Normal Saline	pH 5.5*	
Ringer’s Lactate pH 6.5	
Plasmalyte A pH 6.5	
Coca-cola pH
Plasmalyte A pH 6.5 Coca-cola
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Localization in Coma ... pupils: Metabolic coma ... #Localization #Coma
External Snapping Hip Syndrome - Coxa Saltans

External snapping hip or coxa saltans: sliding of the iliotibial
Hip Syndrome - Coxa ... snapping hip or coxa ... trauma_modern #Coxa ... clinical #video #physicalexam
Differential for patient with a coma (comatose)

#Diagnosis #Differential #Comatose #Causes
patient with a coma