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35 year old Male (Unconsciousness (Exogenous (Drug overdose (Recreational,…
35 year old Male
Unconsciousness
Exogenous
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Drug overdose
Recreational
Ethanol
Irregular breathing, Blue-tinged/pale skin, Low body temperature, confusion, vomiting
Sympathomimetic
Cocaine, amphetamines
agitated, mydriasis, diaphoresis, hyperthermia, tachycardia, tremor, hypertension
Opioids
miotic pupils, decreased bowel sounds, bradycardia, hypoglycemia, hypotension, respiratory depression
Sedative-hypnotics. SSRI, Tricyclic antidepressants, Antipsychotics,
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Environmental
Heat stroke
Tachycardia, tachypnea, flushed skin, skin hot and dry
Carbon monoxide
Nausea, Cherry-red skin and mucous membrane coloration
Hypothermia
slurred speech, shivering, rigid, bradycardic, apneic, hypotensive, hypoxic
Endogenous
Structural
CNS
Infection
Meningtitis
Bacterial
Neisseria meningitidis
petechiae, palpable purpura
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fever, severe headache, stiff neck, photophobia
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Trauma
Extra-axial
Subdural Hematoma
contralateral weakness, hyperreflexia, bradycardia, hypertension, irregular respirations
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Stroke
Hemorrhagic
Subarachnoid
worst headache in life, double vision, stiff neck, photophobia, nausea/vomit
Intracerebral
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headache, nausea, vomiting, lethargy/confusion, loss of vision, unilateral weakness
Ischemic
Neglect of one side,Gaze deviation, Unilateral weakness, Problems speaking/comprehension
Non-structural
Systemic
Organ failure
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Endocrine
DM
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Hyperglycemia
Diabetic ketoacidosis
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Hypothyroidism
Myxedema coma
Hypoventilation, Hypothermia, swelling of body
Adrenal failure
Addisonian Crisis
abdominal pain, vomiting,diarrhea, hypotension
Hyperparathyroidism
Hypercalcemia
Hypotonia, Hyporeflexia, Hallucinations, Psychosis
Hypoparathyroidism
Hypocalcemia
Laryngospasm, stridor, Hypotension, Arrhythmias, Trousseau sign, Chvostek sign
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