Health Questions and Answers

Archive for the 'Altered Mental Status and Coma' Category

Question: I think my patient is faking it. How can I tell if this is psychogenic coma?

Saturday, November 3rd, 2007

Answer: First, be grateful. A patient in psychogenic coma is better than one who is angry and combative. Approach the patient incorrectly, and you can awaken the patient to a hostile alert state. Do a careful neurologic examination. Open the eyelids. If the eyes deviate upward and only the sclera show (Bell’s phenomenon), you should […]

Posted in Altered Mental Status and Coma | No Comments »


Question: When should I do a CT scan in comatose patient?

Saturday, November 3rd, 2007

Answer: Although CT scans have revolutionized the practice of neurology, they are not indicated in every comatose patient. A good history, physical examination, and a few simple laboratory tests are adequate in most cases seen in the Emergency room because drug and alcohol abuse are common. If a structural lesion is suspected, however, a CT […]

Posted in Altered Mental Status and Coma | No Comments »