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Coma - Causes And Management

Coma - Causes And Management

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Published by Rajgopal
Coma is a medical and surgical emergency. A good knowledge of the causes of coma and its management is of vital essence to the medical practitioner.
Coma is a medical and surgical emergency. A good knowledge of the causes of coma and its management is of vital essence to the medical practitioner.

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Published by: Rajgopal on Sep 17, 2008
Copyright:Attribution Non-commercial

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11/10/2014

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Saturday, January 07,2012
Dr. Raj Gopal. V 
 
Saturday, January 07,2012
Dr. Raj Gopal. V 
Definition of COMA
Comaisdefinedasasleeplikestatewithtotalabsenceofawarenessofselfandtheenvironment,evenaftevigorousexternalstimulation.Comaisthemostsevereformofunresponsiveness,andbydefinition,comatosepatientsliewiththeireyesclosed.Ingeneralacomatosepersonis:Apparently asleep.Closing the eyes.Not talking.Unresponsive to instructions.Without any voluntary movements.
 
Saturday, January 07,2012
Dr. Raj Gopal. V 
ConsciousstateDrowsy
 Alert and orientedSleepy but can be woken up
Stupor Coma
Unconscious but responds to vigorous stimulationUnconscious and unresponsive
(Never lasts more than 2-4 weeks)
PVS
(PersistentVegetativeState)
 All cognitive functions lost.Maybe awake but totallyunresponsive. Breathing, circulationand internal organ functions intact.May last for years.
The various states of consciousness
For consciousness to be intact the cerebral hemispheres must be activated by the Reticular Activating System in the brainstem.

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