A compartment syndrome is a clinical diagnosis, but in obtunded
patients or atypical cases, confirmatory diagnosis can be made with objective compartment measurements.
"Magnetic resonance imaging had a lower health benefit and a higher cost compared with no follow-up after a normal CT finding in patients with obtunded
blunt trauma to the cervical spine, a finding that does not support the use of MRI in this group of patients," the authors write.
Griffiths, "Flexion and extension views are not cost-effective in a cervical spine clearance protocol for obtunded
trauma patients," Journal of Trauma--Injury Infection and Critical Care, vol.
The starting dosage was lower than previously recommended based on anecdotal clinical experience with neurologic adverse effects (obtunded
mentation and lethargy) in other patients treated with voriconazole at an initial dose of 4 mg/kg by mouth twice daily .
(1) In addition, UTIs can be challenging to diagnose because, although many are obviously symptomatic, others may be seemingly asymptomatic--particularly in patients who are obtunded
. Frank oedema Rales, [up arrow] HR [up arrow] RR
It is also very helpful in assessment of brachial plexus injury and in obtunded
or unconscious patients.2,9,11,16 Patients with a normal X-ray and fine slice CT scan have a 98% chance of no significant spinal injury, particularly unstable injuries or subluxation.
Patients were excluded if they were too ill to participate, aphasic, had dementia, or if they were obtunded
On presentation, the patient was obtunded
, oriented only to person, and hypoglycemic with undetectable glucose level by finger-stick measurement; she received a total of 150 g of glucose in 50% solution as intravenous bolus.
Intubation was performed en route to the hospital due to his obtunded
Despite treatment with voriconazole and caspofungin, she did not improve and she became obtunded
and required intubation and mechanical ventilation.
A pale and obtunded
3/year/old child with a history of diarrhea is brought to the hospital, Respirations are 45 breaths/min.