Altered Level of Consciousness

Clerkship

Lecture materials and small group cases are posted here for University of Calgary Cumming School of Medicine students. Access to these materials are password protected.

Objectives

By the end of the Paediatric Clerkship, a medical student will be able to:

1. Propose a differential diagnosis, and an investigation and management plan for a paediatric patient with an altered level of consciousness.
2. Clinically recognize a patient with a concussion and counsel the patient and family in return to school and play guidelines.
3. Propose a differential diagnosis and an investigation and management plan for a paediatric patient with hypogylecemia.
4. Propose an initial investigation and management plan for a patient with suspected metabolic disease.

Half Day Cases

• A 3 year old was found in the backyard with decreased level of consiousness
• An 8 year old has had a fever for 3 days and has been unwell. This morning, parents found him lying on the ground in his bedroom. They called 911 and are now in the Emergency Department
• A 4 year old has been sick with vomiting and diarrhea for 4 days. This afternoon, they have been getting progressively more tired and family is having a difficulty time rousing him from his nap