Pediatric Modified Glasgow Coma Scale (GCS) Assessment
The question requires calculating the Modified Glasgow Coma Scale (GCS) score for an 18-month-old child presenting with specific responses after a head injury. The pediatric version of the GCS assesses three components: Eye Opening (E), Verbal Response (V), and Motor Response (M).
GCS Component Breakdown
Let's assess each component based on the child's presentation:
- Eye Opening (E): The child opens eyes only to pain. According to the pediatric GCS, this response scores 2.
- Verbal Response (V): The child moans on painful stimuli. In the pediatric GCS, sounds like moans or cries in response to pain typically score 2.
- Motor Response (M): The child withdraws to painful stimuli. This response scores 4 on the pediatric GCS.
Total Modified GCS Score Calculation
The total Modified GCS score is the sum of the scores from the three components:
Total Score = E (Eye Opening) + V (Verbal Response) + M (Motor Response)
Total Score = 2 + 2 + 4
Total Score = 8
Therefore, the modified Glasgow Coma Scale score for this child is 8.
Important Questions from Childhood Injuries and Poisoning
- Consider the following pairs :How many of the pairs given above are correctly matched ?
Urine colour Possible causative agent in a child with suspected poisoning 1. Pink - Cephalosporin 2. Brown - Chloroquine 3. Greenish blue - Phenazopyridine 4. Red-orange - Amitriptyline - A child presents to the emergency following ingestion of around 20 mL of kerosene oil about 40 minutes back. The child appears stable. Which one of the following measures should be done for the management of the child?
- In case of a child with an acute poisoning by ingestion, activated charcoal may be used in which one of the following situations?
An 8 year old child has consumed a few tablets of a drug that were being taken by his motheron a regular basis. Following this the child develops gastric necrosis, acidosis, shock and hepatic necrosis. Which is the most likely drug?
In a child with acute organophosphorus poisoning, which one of the following drugs will act as anti-sialogogue and peripheral parasympatholytic agent?
