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{{CMG}}  '''Associate Editor(s)-in-Chief:''' [[User:Raviteja Reddy Guddeti|Raviteja Guddeti, M.B.B.S.]][mailto:ravitheja.g@gmail.com]   
==Overview==
==Overview==
Neurological examination and eye examinationare very useful to identify underlying problem in the brain.
Neurological examination and eye examination are very useful to identify underlying problem in the brain.
==Physical Examination==
The severity of coma impairment is categorized into several levels. Patients may or may not progress through these levels. In the first level, the brain responsiveness lessens, normal reflexes are lost, the patient no longer responds to pain and cannot hear.
 
Contrary to popular belief, a patient in a coma does not always lie still and quiet. They may move, talk, and perform other functions that may sometimes appear to be conscious acts but are not.<ref>[http://news.bbc.co.uk/2/hi/europe/6715313.stm BBC NEWS | Europe | Pole wakes up from 19-year coma]</ref>
 
Two scales of measurement often used in [[Traumatic Brain Injury|TBI]] diagnosis to determine the level of coma are the [[Glasgow Coma Scale]] (GCS) and the [[Rancho Los Amigos Scale|Ranchos Los Amigos Scale]](RLAS). The GCS is a simple 3 to 15-point scale (3 being the worst and 15 being that of a normal person) used by medical professionals to assess severity of neurologic trauma, and establish a prognosis. The RLAS is a more complex scale that has eight separate levels, and is often used in the first few weeks or months of coma while the patient is under closer observation, and when shifts between levels are more frequent.
 
==References==
==References==
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{{Reflist|2}}
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[[Category:Neurology]]
[[Category:Neurology]]
[[Category:Intensive care medicine]]
[[Category:Intensive care medicine]]
[[Category:Emergency medicine]]
[[Category:Emergency medicine]]
[[Category:Central nervous system]]
[[Category:Central nervous system]]
[[Category:primary care]]
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[[Category:Needs content]]
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Latest revision as of 21:01, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3] Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S.[4]

Overview

Neurological examination and eye examination are very useful to identify underlying problem in the brain.

Physical Examination

The severity of coma impairment is categorized into several levels. Patients may or may not progress through these levels. In the first level, the brain responsiveness lessens, normal reflexes are lost, the patient no longer responds to pain and cannot hear.

Contrary to popular belief, a patient in a coma does not always lie still and quiet. They may move, talk, and perform other functions that may sometimes appear to be conscious acts but are not.[1]

Two scales of measurement often used in TBI diagnosis to determine the level of coma are the Glasgow Coma Scale (GCS) and the Ranchos Los Amigos Scale(RLAS). The GCS is a simple 3 to 15-point scale (3 being the worst and 15 being that of a normal person) used by medical professionals to assess severity of neurologic trauma, and establish a prognosis. The RLAS is a more complex scale that has eight separate levels, and is often used in the first few weeks or months of coma while the patient is under closer observation, and when shifts between levels are more frequent.

References

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