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Coma Scales. The primary goal of the neurologic examination in an unresponsive patient is to localize the lesion and thereby narrow the differential diagnosis. The examination should proceed in a stepwise fashion and be familiar to the neurologist because of constant repetition.
You are on the scene of a person down. You arrive at a college dormitory and find aâ 21-year-old patient lying supine on theâ floor, unresponsive. The patient isâ guppy breathing at 5 times aâ minute, has a strong radial pulse at 110 beats perâ minute, and has vomited on himself.