Disturbed Consciousness
by Paul de Roos
1. Navigation
1.1. EFNS Conference overview
1.2. Free Teaching Course overview
2. Case history
2.1. Trauma?
3. Examination
3.1. Sign of trauma?
3.2. Observation
3.2.1. e.g. atactic breath
3.2.1.1. medulla oblongata
3.3. Reaction to pain stimuli
3.4. Pupil/light reflex (2nd/3rd)
3.4.1. mesencephalon
3.5. Corneal reflect (5th-7th)
3.5.1. pons
3.6. Calorical stimulation
3.7. Imaging
4. Pathophysiology
4.1. Picture 1
4.2. Picture 2: overview
4.3. New node
5. Clinical Approach
5.1. Acute descrease in consciousness
5.1.1. sedatives given?
5.1.2. Focal signs?
5.1.3. trauma?
5.1.4. Fever?
5.1.5. Blood paramaters?
5.1.5.1. Dont ever forget Glucose!
5.1.6. Imaging?
5.1.6.1. e.g. supratentorial infarct
6. Hypnoid type
6.1. Somnolent
6.1.1. will fall asleep when not stimulated
6.2. stupor
6.2.1. Reacts to pain
6.3. coma
6.3.1. no reaction to pain