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testing

 
   
 
Disease UNCONSCIOUS PATIENT 60 yrs. Old male
   
Treatment Doctor, My father is not talking or responding since today afternoon. He had his lunch a usual and then we found him lying on the ground in the bathroom.

First ensure that airway is clear, and patient is not in shock.

In which case, resuscitative measures should start first.

Ask H/O Onset –sudden or gradual, H/O Head injury, H/O High fever before coma, H/O alcohol or poison ingestion.

General examination:

First a note the temperature.

Palpate the pulse: slow, Fast or irregular.

Check the blood pressur.

Note respiraton: slow/Rapid & deep/irregular/cheyne stokes.

Note the breth smell: Poison, alcohol, ammonia, acidotic, Fetor hepaticus

Note the posture – at reas and after giving a painful stimulus: Flaccid/Decerebrate/Dcorticate

Severe sweating: Hypoglycemia

Examine from head to toe:

Palpate the skull for bogginess or fracture. Examine the ear for discharge, blood or CSF.

Eyes: Pupils, Deviation, Doll’s eye movements.

Tongue: Dryness, bite marks.

Neck rigidity.

Chest & Abdomen.

Give a painful stimulus. Note the response. Note for weakness of limbs or facial nerve.
   

 

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