How can an altered mental status manifest?
Hyperalertness
Somnolence
Lethargy
Obtundation
Stupor
Describe Coma and clinical features of underlying AMS etiologies which may be present.
Coma manifests as depressed consciousness with no response to voice, pain, or other stimulation.
Clinical features of underlying AMS etiologies may be present, e.g.:
CNS causes focal neurological deficits, lateralizing signs, seizures, meningismus
Overdose or substance use: classic toxidromes
Respiratory causes: tachypnea or respiratory depression
Hepatic causes: jaundice, prolonged bleeding, pruritus
Endocrine causes: clinical features of hypothyroidism, clinical features of thyrotoxicosis
Clinical features of TBI
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