what is the rule of eye examination in unconscious patient arriving to you at emergency room ?
- it is crucial to assess the patient eye in abcde protocol to reach proper diagnosis ,
here you can start :
what make eye examination important :
1-access the level of conscious by GCS, 4 spontaneous ,3 open to speech 2 open to painful stimuli ,1 no response
2-pupil examination to determine the probable cause of coma :
-constricted pupil in morphine poisoning , organophosphorus , pontine hemorrhage (hemorrhagic stroke)
-dilated pupil in atropine poisoning , amphetamine , death
anisocoria (unequal pupil) in extradural hemorrhage , brain tumor ,cerebral artery aneurysm
3-fundal examination :optic disc swelling , sub-hyaloid hemorrhage (in suspected subarachnoid hemorrhage)