A coma is a prolonged state of unconsciousness. The person is alive and looks like he or she is sleeping. (M2.EC.17.4770) A 69-year-old male presents to the emergency department for slurred speech and an inability to use his right arm which occurred while he was eating dinner. On further probing, she also reports a nagging cough with shortness … References: [11] [14] Thiamine 100 mg IV prevents Wernicke-Korsakoff encephalopathy. During a coma, a person is unresponsive to his or her environment. His postsurgical course was complicated by ventilator-associated pneumonia and bilateral postoperative pleural effusions requiring chest tubes. Intubate to protect airway if no gag reflex. The patient arrived at the emergency department within one hour. Coexisting, poorly defined, and probably psychogenic conditions, such as fibromyalgia, chronic pain, and chronic fatigue, are associated with psychogenic symptoms. Approach:. ABCs including cervical spine immobilization if any possibility of trauma. Do not withold glucose if thiamine not available. (M1.EC.15.75) A 57-year-old female presents to the emergency department with complaints of nausea, muscle aches, and confusion that presented and worsened over the past several days. Learn. Coma patients exhibit a complete absence of wakefulness and are unable to consciously feel, speak or move.
The patient's medical history can be useful. Check finger-stick glucose and rapidly administer: . (M2.RL.17.4830) A 75-year-old man with coronary artery disease and mitral valve stenosis status-post coronary artery bypass graft and mitral bioprosthetic valve replacement is evaluated in the intensive care unit. [] Similarly, a florid review of systems suggests somatization. A CT scan was performed of the head and did not reveal any signs of hemorrhage. Study medicine from anywhere with video lectures by teaching award-winning professors integrated in a powerful Qbank. If hypertension with associated bradycardia, consider increased intracranial pressure. Primary polydipsia, or psychogenic polydipsia, is a form of polydipsia characterised by excessive fluid intake in the absence of physiological stimuli to drink. Try Lecturio now for free!
Psychogenic polydipsia which is caused by psychiatric disorders, often schizophrenia, is often accompanied by the sensation of dry mouth.Some forms of polydipsia are explicitly non-psychogenic. A coma is a deep state of prolonged unconsciousness in which a person cannot be awakened; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary actions. Retain. In cases of low water intake → severe dehydration (altered mental status, lethargy, seizures, coma) and hypotension; In the absence of nocturia, diabetes insipidus is very unlikely! Apply.