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What Does This Following Lab Report Indicate?

Posted on Fri, 9 Dec 2016

Question: 81 year female,hospitalised for Fall - SDH and Fracture neck of femur.she is in coma now with GCS -4.please find attach docuemnts and confirm on what could be cause for coma in this case.

Answered by Dr. Neeraj Kumar (6 hours later)

Brief Answer:
Prognosis is not good in this case

Detailed Answer:
Hello,
I have gone through your question and understand your concerns.
Head injury in this case is severe as evident by subdural hematoma and subarachnoid hemorrhage.
Brain parenchyma injury is also associated in such cases.
Also there is evidence of infection which attributes to coma.
With low gcs of 4, Prognosis is not good and prolonged icu care may be required.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Neeraj Kumar (11 hours later)

dear sir thank you for revert,is it a case of clearcut injury or is there any chance of any illness leading to coma.whether high sugar levels are associated with the current diagnosis

Answered by Dr. Neeraj Kumar (8 hours later)

Brief Answer:
All factors are responsible for coma

Detailed Answer:
Hello,
High blood sugar and low sodium and urine infection contribute to coma.
Blood sugar control was poor for last 3 months as evident by raised hba1c.
diabetic ketoacidosis should be considered.
Hope you found the answer helpful.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Yogesh D