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coma
(redirected from Myxedema coma)

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coma, in medicine

coma, in medicine, deep state of unconsciousness from which a person cannot be aroused even by painful stimuli. The patient cannot speak and does not respond to command. Coma is the result of damage to the brain stem brain stem, lower part of the brain , adjoining and structurally continuous with the spinal cord. The upper segment of the human brain stem, the pons, contains nerve fibers that connect the two halves of the cerebellum .
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 and cerebrum that may be caused by severe head or brain injury, cardiac arrest, stroke stroke, destruction of brain tissue as a result of intracerebral hemorrhage or infarction caused by thrombosis (clotting) or embolus (obstruction in a blood vessel caused by clotted blood or other foreign matter circulating in the bloodstream); formerly called
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, diabetes diabetes or diabetes mellitus (məlī`təs)
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, drug overdose, shock shock, any condition in which the circulatory system is unable to provide adequate circulation to the body tissues, also called circulatory failure or circulatory collapse. Shock results in the slowing of vital functions and in severe cases, if untreated, in death.
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, or hemorrhage hemorrhage (hĕm`ərĭj), escape of blood from the circulation (arteries, veins, capillaries) to the internal or external tissues.
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. It occurs just before death in many diseases. There are various depths of coma; the nature of the injury determines the level of supportive treatment necessary (see artificial life support artificial life support, systems that use medical technology to aid, support, or replace a vital function of the body that has been seriously damaged. Such techniques include artificial pacemakers , internal defibrillators , dialysis machines (see kidney, artificial
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). Survival and prognosis depend upon the cause, extent of damage, and duration of the coma.

The term

persistent vegetative state was coined in 1972 to describe an unconscious state in which sleep and wake cycles remain and eyes may open, but there is no thinking, feeling, or awareness of one's surroundings (although one may react reflexive to certain stimulations). The brain stem is usually relatively intact but the cerebral cortex is severely impaired. It is this state that sometimes results from resuscitation and life support of people who otherwise would have died; partial emergence from such a state sometimes occurs with a year or two, but not after that.


coma, in astronomy

coma, in astronomy: see comet comet [Gr.,=longhaired], a small celestial body consisting mostly of dust and gases that moves in an elongated elliptical or nearly parabolic orbit around the sun. Comets visible from the earth can be seen for periods ranging from a few days to several months.
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.

coma

Complete lack of consciousness, with loss of reaction to stimulus and of spontaneous nervous activity. It is usually associated with cerebral injury of metabolic or physical origin. Simple concussions cause short losses of consciousness. Coma from lack of oxygen may last several weeks and is often fatal. Coma caused by stroke can be sudden, while that caused by metabolic abnormalities (as in diabetes mellitus) or cerebral tumours comes on gradually. Treatment depends on the cause.



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Usually only myxedema coma requires levothyroxine parenterally; all other forms of hypothyroidism can be treated with oral levothyroxine.
14) Marked stupor, confusion, hypothermia, hypoventilation, bradycardia, and somnolence indicate the presence of myxedema coma and require immediate treatment in an intensive care setting.
 
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