Pediatric emergency medicine trisk 0435 0435

DIFFERENTIAL DIAGNOSIS
A differential diagnosis for children presenting in or near coma is shown in Table
17.2 . The more commonly encountered causes of coma are listed in Table 17.3 .
These most likely causes of coma should be considered in every patient
presenting with this condition. Life-threatening causes of ALOC are listed in
Table 17.4 and must be considered in every patient. More than one problem may
be present simultaneously; for example, a victim of submersion injury may incur
head trauma when falling into a swimming pool, or a deeply postictal patient with
known seizure disorder may have ingested a toxin.
TABLE 17.1
GLASGOW COMA SCALE AND MODIFICATIONS FOR INFANTS
AND CHILDREN