Phys Clinical Cases · general-medicine
Examination OF THE Unconscious Patient — DCE Clinical Case
DCE long-case and short-case station for Examination OF THE Unconscious Patient.
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Target exams
Examination OF THE Unconscious Patient — Clinical Case
DCE Long Case
Patient brief
Patient: A middle-aged or older adult with multimorbidity and a presentation centred on Examination OF THE Unconscious Patient. [1]
Presenting complaint: Subacute or acute symptoms referable to Examination OF THE Unconscious Patient, with enough detail to force prioritisation. [1] [2]
Past history: Common cardiometabolic and organ comorbidities that interact with the plan. [2]
Medications: A polypharmacy list that includes at least one interaction or dosing issue. [2]
Examination: Key positives and critical negatives for dangerous differentials. [1]
Investigations: A small set of results that change management. [1] [2]
Tasks
- Present a prioritised problem list. [1]
- Defend investigations and immediate therapy. [1] [2]
- Provide safety-net and follow-up advice. [2]
Model discussion points
- Working diagnosis and acuity. [1]
- Differentials and discriminators. [2]
- Treatment sequence and monitoring. [1] [2] [3]
- Multimorbidity and communication. [2]
Short case
Focused examination or counselling station linked to Examination OF THE Unconscious Patient, with one interpretation task and one shared-decision point. [1] [2]
References
- [1]Nixon A, Mucksavage J, Morrison C, Panos NG, et al. Protocol-Based Management of Medication Confounders in Brain Death Determination: A Multi-Institutional Review J Am Coll Clin Pharm, 2026.PMID 42310841
- [2]Defaee S, Ouspid E, Barahimi E, Sheybani-Arani M, et al. Pseudo-SAH in a patient with methanol poisoning: a case report J Med Case Rep, 2026.PMID 42163382
- [3]Silva S, Treggiari M, Citerio G, Stevens RD, et al. Stepwise clinical and diagnostic strategy for coma of unknown origin Intensive Care Med, 2026.PMID 42059919
- [4]Barlinn K, Schoene D, Pleul K, Roessler M, et al. Etiology- and age-specific timing of death by neurologic criteria evaluation and declaration in clinical practice Crit Care, 2026.PMID 42106780
- [5]Knapen SE, Hinsenveld WH, Janssen MLF, Mess WH, et al. Utility of continuous EEG monitoring in postanoxic coma: a retrospective multicenter study Crit Care, 2025.PMID 41331652
- [6]Eatz T, Cabrera Y, Cabrera F, Kottapally M, et al. Is a Second Transcranial Doppler Study Needed to Confirm Neurocirculatory Arrest? Neurocrit Care, 2025.PMID 40133758
- [7]Doan HN, Chang MC Comparative Effectiveness of Unstable Versus Stable Resistance Training on Lower Limb Strength, Mobility, and Fear of Falling in Older Adults: A Systematic Review and Meta-analysis of Randomized Controlled Trials Am J Phys Med Rehabil, 2026.PMID 42468010
- [8]Liu HW, Tsai TL Virtual Reality-assisted Physiotherapeutic Training for Patients With Knee Osteoarthritis: A Systematic Review and Meta-analysis Am J Phys Med Rehabil, 2026.PMID 42468005