Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Neurology assessment [Unconscious]


Answer


1


a) Any head injury leading to admission

- exclude diffuse shearing injury and/or

- Intracranial hematoma


b) Previous head injury (within 6w)

-Chronic subdural hematoma


c) Sudden collapse

-intracerebral hemorrhage

-subarachnoid hemorrhage


d) Limb twitching, incontinence

- Epilepsy/ post ictal state


e) Gradual development of symptoms

- Mass lesion

- Metabolic

- Infective


f) Any previous medical illness

- DM (hypoglycemia)

- Epilepsy

- Psychiatric illness (drug overdose)

- Alcoholism

- Drug abuse

- Viral infection

- Malignancy (intracranial metastases)


2


a) Urgent CT scan

- Trauma

- sign of increase ICP or focal neurological symptom

- Meningism


b) Metabolic blood screen


c) Lumbar puncture


Others


d) Skull x-ray

e) Chest x-ray (bronchial ca)

f) Electroenchapalography (EEG)


Reference: Kenneth W. Lindsay& Ian Bone, “Neurology and Neurosurgery illustrated”, 4th edition, Churchill Livingstone, 2004


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