Disturbed Consciousness

1. Navigation

1.1. EFNS Conference overview

1.2. Free Teaching Course overview

2. Hypnoid type

2.1. Somnolent

2.1.1. will fall asleep when not stimulated

2.2. stupor

2.2.1. Reacts to pain

2.3. coma

2.3.1. no reaction to pain

2.4. Most usefull measurement: Glasgwo Coma Scale

3. Case history

3.1. Trauma?

4. Examination

4.1. Sign of trauma?

4.2. Observation

4.2.1. e.g. atactic breath

4.2.1.1. medulla oblongata

4.3. Reaction to pain stimuli

4.4. Pupil/light reflex (2nd/3rd)

4.4.1. mesencephalon

4.5. Corneal reflect (5th-7th)

4.5.1. pons

4.6. Calorical stimulation

4.7. Imaging

5. In tact consciousness

6. Disturbed consciousness

7. Pathophysiology

7.1. Picture 1

7.2. Picture 2: overview

7.3. New node

8. Take Home Message

9. Clinical Approach

9.1. Acute descrease in consciousness

9.1.1. sedatives given?

9.1.2. Focal signs?

9.1.3. trauma?

9.1.4. Fever?

9.1.5. Blood paramaters?

9.1.5.1. Dont ever forget Glucose!

9.1.6. Imaging?

9.1.6.1. e.g. supratentorial infarct