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Cognition - Coggle Diagram

- - - - Semi-coma, withdrawal to pain, mumbles, spontaneously unconscious
    - - Difficult to awaken, marginal cooperation, monosyllables, incoherent
    - - No response to pain, completely unconscious
    - - Somnolent, inattentive
  - - - Eye opening response
      - Verbal response
      - Motor Response
    - - Higher score = Higher LOC
      - Max of 4-5-6 points
      - 13-15, 9-12, 3-8
  - - - Central stimuli
        
        Types
        
        Supraorbital squeeze
        
        More dangerous if you don't know how to do it
        
        Mandibular squeeze
        
        Sternal rub
        
        Trapezius squeeze
        
        Check if noxious stimuli reaches CNS
        
        Peripheral stimuli
        
        Finger/nailbed pressure
    - - Responsive
        
        Localizes
        
        Abnormal Posture
        
        Decorticate
        
        Damage to corticospinal tracts
        
        Less severe
        
        Arms are adducted and flexed
        
        Legs are stiffly extended and internally rotated
        
        Wrists and fingers are flexed on the chest
        
        Plantar flexion
        
        Decerebrate
        
        Damage to upper brain stem ("think about cerebrum")
        
        More severe
        
        Arms are adducted and extended
        
        Wrists are pronated
        
        Legs are stiffly extended
        
        Plantar flexion
      - Unresponsive, flaccid
- - - - Underlying medical condition
      - Impairment
        
        Alcohol/Substances
        
        Medications
      - Environment