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Focus on establishing pt's best level of function and uncovering signs that enable a specific diagnosis. Comatose pt's best motor and sensory function should be assessed by testing responses to noxious stimuli; carefully note any asymmetric responses, which suggest a focal lesion. Multifocal myoclonus indicates that a metabolic disorder is likely; intermittent twitching or subtle eye movements may be the only sign of a seizure.

Outline

Section 2. Medical Emergencies