Clinical approach to comatose patients

May, Rosie; Hunt, Katharine

doi:10.1016/j.mpaic.2019.10.015

Cited by 3 publications

(4 citation statements)

References 3 publications

(3 reference statements)

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“…Rhabdomyolysis can result from prolonged coma; conversely, certain conditions that can cause rhabdomyolysis may result in coma. [13][14][15] Thus, we suggest that serum creatine kinase should be included as part of the initial workup for acutely unconscious patients when a reliable history cannot be obtained from the patient or any informant. To illustrate the relationship between elevated serum creatine kinase levels and coma, we created a diagram, as shown in Figure 2.…”

Section: Discussionmentioning

confidence: 99%

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A case report of near-missed heat stroke

Yeoh,

Law

2023

Medicine

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Rationale: Heat-related illnesses have protean manifestations that can mimic other life-threatening conditions. The diagnosis of heat stroke requires a high index of suspicion if the patient has been exposed to a high-temperature environment. Central nervous system dysfunction is a cardinal feature. Strict adherence to temperature criteria can potentially lead to misdiagnosis. Patient concerns: A 37-year-old construction worker was brought in by his wife and coworker due to a sudden loss of consciousness while resting after completing his work. Diagnoses: Due to challenges faced during the coronavirus disease 2019 pandemic, as well as language barriers, a detailed history from the coworker who witnessed the patient’s altered sensorium was not available. He was initially suspected of having encephalitis and brainstem stroke. However, subsequent investigations revealed multiorgan dysfunction with a normal brain computed tomography and cerebral computed tomography angiogram. In view of the multiple risk factors for heat stroke, pupillary constriction, and urine color suggestive of rhabdomyolysis, a diagnosis of heat stroke was made. Interventions: Despite delayed diagnosis, the patient’s multiorgan dysfunction recovered within days with basic supportive care. Outcomes: There were no noticeable complications on follow-up 14 months later. Lessons: Heat stroke can be easily confused with other neurological pathologies, particularly if no history can be obtained from the patient or informant. When approaching a comatose patient, we propose that serum creatinine kinase should be considered as an initial biochemical screening test.

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Section: Discussionmentioning

confidence: 99%

“…Careful systematic and targeted clinical examinations from head to toe are essential. [ 13 , 14 ] In view of the broad differential diagnoses for unconsciousness, some basic initial screening blood investigations may be useful to guide further investigation or management.…”

Section: Discussionmentioning

confidence: 99%

A case report of near-missed heat stroke

Yeoh,

Law

2023

Medicine

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“…Furthermore, vital and functional prognoses are largely influenced by the cause of the coma [ 24 , 25 ]. Several classifications of the etiologies of NTC exist; however, the distinction between primary (or structural) and systemic (non-structural or diffuse) causes based on whether a structural local lesion exists in the brain is one of the most widely used classifications [ 9 , 20 ].…”

Section: Discussionmentioning

confidence: 99%

“…Based on clinical, biological, and brain imaging information, the causes/etiologies of coma are divided into structural or primary brain disorders (stroke, meningoencephalitis, or brain tumors, among others) and non-structural or systemic disorders (medical conditions that secondarily cause diffuse brain dysfunction such as metabolic disturbances, septic shock, or hypertensive hypertension, among others) [ 20 ].…”

Section: Methodsmentioning

confidence: 99%

Etiologies and factors associated with mortality in patients with non-traumatic coma in a tertiary hospital in Bukavu, eastern Democratic Republic of the Congo

Mateso,

Makali,

Shamamba

et al. 2023

Heliyon

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Discourse of the Post-COVID 19 New Deal in South Korea

Yoon

2021

East Asia

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In July 2020, the South Korean government announced a 5-year, post-pandemic plan. This purportedly proactive policy aimed to advance digital and green industries to lay the groundwork for the post-pandemic era. This article examines the South Korean government’s early proposal of a post-pandemic policy, titled the Korean New Deal, in order to explore how the pandemic crisis may affect the policymakers’ envisioning of the post-crisis society. Moreover, the study examines how this early predictive plan may reveal the ways in which the pandemic is utilized for discursive politics. Drawing on the critical discourse analysis of policy documents and news coverage, this article questions how the “old” language of the developmental state is incorporated into the “new” policy. The study also shows how COVID-19′s impacts and uncertainties are translated into political discourses.

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Clinical approach to comatose patients

Cited by 3 publications

References 3 publications

A case report of near-missed heat stroke

A case report of near-missed heat stroke

Etiologies and factors associated with mortality in patients with non-traumatic coma in a tertiary hospital in Bukavu, eastern Democratic Republic of the Congo

Discourse of the Post-COVID 19 New Deal in South Korea

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