医学
彗差(光学)
异常
重症监护医学
鉴别诊断
病因学
体格检查
人口
振作起来
神经系统检查
儿科
精神科
外科
病理
物理
光学
环境卫生
作者
Anna Karpenko,Joshua M. Keegan
标识
DOI:10.1016/j.emc.2020.09.009
摘要
The differential diagnosis for the comatose patient is includes structural abnormality, seizure, encephalitis, metabolic derangements, and toxicologic etiologies. Identifying and treating the underlying pathology in a timely manner is critical for the patient’s outcome. We provide a structured approach to taking a history and performing a physical examination for this patient population. We discuss diagnostic testing and treatment methodologies for each of the common causes of coma. Our current understanding of the mechanisms of coma is insufficient to accurately predict the patient’s clinical trajectory and more work needs to be done to investigate potential treatments for this often fatal disorder.
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