Differential Diagnosis in an Unconscious Patient!!
When gums are swollen & bitten tongue,
Epilepsy could be in the rung,
When drenching sweat is with coma
If In coma, fever is in its height
Cerebral malaria could be the plight
And high fever is with neck stiffness
Probably it’s pyogenic meningitis
In the same state also consider
TB meningitis or Sub arachnoid bleed in the rudder,
Coma with burning fever
Heat stroke it is dear,
When with yellow eyes and skin
Then hepatic coma is the thing,
Deep congested eyes in coma
Speak of abuse alcohol aroma.
Cerebral bleed has unequal pupils
Pontine bleed, has pinpointed pupils
Dhatura poison shows dilated pupils.
Coma with unequal nasolabials
Diagnose it as facial paralysis.
Bleeding nose & ears that drain
It’s bleeding at the base of brain.
Coma with blue lip
This is a COPD tip
Fruity smelling urine or saliva
Occurs In diabetic coma.
Uremic coma has strong uriniferous odour
And in hepatic coma the rat like stink succour
Finally in urine a perfume emits
It’s Poisoning from sleeping pills
Hope this poetry helps you all
In differential diagnosis when Coma calls