Depressed consciousness Flashcards
1
Q
What is the most common aetiology of depressed conscious state in the ED
A
toxins are the most common but most cases are due to toxic, metabolic or infectious causes.
2
Q
Discuss broad DDX of depressed concious state
A
Metabolic
- DKA, hypoglycaemia
- Beriberi
- Adrenal crisis
- Pituitary apoplexy
- Sepsis
- Wernickes
- Hyponatraemia
- hyperammonemia
- hypercalcemia
- hepatic encephalopahy
- thyrotoxic crisis
- myxoedema coma
- heat stroke
Toxic
- Opiates
- hypoglycaemic agents
- carbon monoxide
- histotoxic hypoxia
- methemoflobinemia
- sedatives
- toxic alcohols (methanyl ethanol glycal)
Structual
- haemorrohage
- cortical infarct
- cerebellar infarct
