A 35 year old man was brought in unconscious by the SCDF emergency ambulance service. He was found slumped on the sofa at a local pub. Prepare a concept map which includes the aetiology or the mechanisms behind your main differentials for this patient.
ETC
Post-anoxic coma
Hepatic Encephalopathy
Eclampsia
Neurological or CNS
Infectious
Metabolic
Toxic
Environmental
Pulmonary / Hypoxia
CVS
Hemorrhage stroke
Ishemic stroke
Status epilepticus
Acute hydrocephalus
Hematomas
Cancer
Venous sinus thrombosis
CNS vasculitis
Pseudotumor cerebri
Bacterial meningitis
Encephalitis
Septic shock
Brain abscess
viral meningitis
sepsis from other sources
Hypoglycemia
Thiamine deficiency - wernicke korsakoff
Electrolyte
Hyperammonemia
Na
Ca
Myxedema coma
Thyrotoxicosis
Uremia
Porphyria
Carbon monoxide
Cyanide
Heroin
B-blockers
Calcium channel blockers
Cardiac glycosides
Tricyclic antidepressant
Alcohol
Benzodiazepine
Cocaine, amephetamines
Isoniazid, organophosphates, acetaminophen, anticonvulsants, aspirin, lithium, PCP, SSRIs
Muarijuana, LSD, Mushrooms, NSAIDS
High-altitude cerebral edema
Heat stroke
Hypothermia
Malignant hyperthermia
neuroleptic malignant syndrom
dysbarism
Anaphylaxis
Pulmonary embolus
Asthma
COPD
MI
Aortic dissection
cardiogenic shock
cardiac tamponande
hypovolemic shock
hypertensive crisis
malignant arrhythmia
CHF
Anemia
Hyperglycemia - Diabetic ketoacidosis (DKA) and Hyperosmolar non-ketotic hyperglycaemia (HONK)
Trauma
changes in ambient pressure
click to edit
basilar artery thrombosis: vision disturbances
pulse oximetry
core temperature
jaundice
distended veins
spider nevi
cherry red lips
**petechial bleeding
Convulsion seizure
bitten tongue
goiter
Glascow coma scale
Physical examination: reponsiveness, pupillary reflex, vestibular ocular reflex (Tested with oculocephalic (quick turn of head from side to side or in the anterior-posterior plane), neuromascular weakness, lumbar puncture, CSF, EEG (seizures).