Clinical Case Database / Category: Clinical Care
Management and investigation of coma on a post-operative patient
Publication details
Dr Kok Hooi Yap, Dr Martin Clark
Foundation Years Journal, volume 4, issue 3, p.36 (123Doc Education, London, March 2010)
Abstract
This case-based discussion focuses on an independent 73-year-old lady presenting with coma 6 days after a right total hip replacement. The management of coma is discussed with emphasis on the acute resuscitation and differential diagnosis. This complex case demonstrates that using a systematic and multidisciplinary approach allows appropriate management of a patient even when the aetiology is unknown.
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Authors
Dr Kok Hooi Yap
Foundation Year 1
Royal Infirmary of Edinburgh
51 Little France Crescent
Old Dalkeith Road
Edinburgh EH16 4SA
Dr Martin Clark
Consultant Anaesthetist and Intensive care
Intensive Care Unit
Queen Margaret Hospital
Dunfermline
Fife KY12 0SU
References
1. Venkatesh B (2009) Disorders of Consciousness. In: Ad Bersten, N Soni. Oh's Intensive Care Manual, 6th edn. Philadephia: Butterworth-Heinemann, 525–540.
2. Chapter 7, Neurological Emergencies. In: B Chapman, C Kelly, S Maxwell, M Mckechnie, G Nimmo, M Naysmith, et al. (2007) Adult Medical Emergencies Handbook, 4th edn. Lothian Health: University Hospitals Division, 221–223.
Disclaimers
Conflict Of Interest
The Journal requires that authors disclose any potential conflict of interest that they may have. This is clearly stated in the Journal’s published “Guidelines for Authors”. The Journal follows the Guidelines against Conflict of Interest published in the Uniform Requirements for Manuscripts Submitted to Biomedical Journals (http://www.icmje.org/urm_full.pdf).
Financial Statement
The authors of this article have not been paid. The Journal is financed by subscriptions and advertising. The Journal does not receive money from any other sources. The decision to accept or refuse this article for publication was free from financial considerations and was solely the responsibility of the Editorial Panel and Editor-in-Chief.
Patient Consent statement
All pictures and investigations shown in this article are shown with the patients’ consent. We require Authors to maintain patients’ anonymity and to obtain consent to report investigations and pictures involving human subjects when anonymity may be compromised. The Journal follows the Guidelines of the Uniform Requirements for Manuscripts (http://www.icmje.org/urm_full.pdf). The Journal requires in its Guidelines for Authors a statement from Authors that “the subject gave informed consent”.
Animal & Human Rights
When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.