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Which of the following 2-year-old children has a Glasgow Coma Score (GCS) of 10?
You may use the following table to help you:
Score | > 5 years of age | < 5 years of age | |
Eye opening | 4 | Spontaneous | Spontaneous |
3 | To voice | To voice | |
2 | To pain | To pain | |
1 | None | None | |
Verbal | 5 | Orientated | Alert, babbles, coos, words or sentences for normal age |
4 | Confused | Less than usual ability, irritable cry | |
3 | Inappropriate words | Cries to pain | |
2 | Incomprehensive sounds | Moans to pain | |
1 | No response to pain | No response to pain | |
Motor | 6 | Obeys commands | Normal spontaneous movements |
5 | Localises to supraorbital pain | Withdraws to touch | |
4 | Withdraws from nailbed pain | Withdraws from nailbed pain | |
3 | Flexion to supraorbital pain | Flexion to supraorbital pain | |
2 | Extension to supraorbital pain | Extension to supraorbital pain | |
1 | No response to supraorbital pain | No response to supraorbital pain |
A 12-month-old child presents with a reduced level of consciousness. The child’s coma score is 4/15 and BM is 18.0 mmol/L. There is no history of trauma or significant past medical history. The following is also seen:
HR: 70
CR: 3 sec
RR: 7
Sats 84% (10 L/min of O2)
Temp 36.6oC
Regarding the management of this patient, which of the following statements is correct?
On investigating a 3-year-old child who presents with a GCS of 11/15. Which statement is correct regarding core investigations?
Of the following scenarios, which is most likely a cause of a GCS <8/15 level in a child?
A child presents with a decreased conscious level. Which statement is correct?
With regard to investigations for reduced conscious levels which statement is correct?
A 3-week-old Asian baby presents with increasing lethargy, poor feeding, failure to thrive and vomiting. Examination reveals the following:
Temp 36.0oC
RR 44
Sats 94%
CR 3 seconds
HR 140 moderate volume
Which of the following statements is correct?
A 5-year-old usually well, has had 36 hours of vomiting. The child presents with a GCS 10/15: E=2 M=5 V=3. He has no significant past medical history and no medications have been given. Which of the following statements is correct?
A 4-year-old boy of African descent has recently arrived in the UK. He presents with a cough, poor appetite, fevers, headaches, no rash, no neck stiffness, and no photophobia. He is refusing to answer questions and keeps his eyes closed unless stimulated and appears scared. His GCS is estimated at 8/15: E=2, V=2, M=4. BM 2.6, HR 140, Temp 38.6oC, sats 90%. His hands are cold and he is sleepy, he has not eaten for 24 hours.
Which of the following statements are correct?
With regards to non-accidental injury (NAI) as a cause of a decreased consciousness, which of the following statements is correct?
Nice topic
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Nice one