A known 60-year-old male Diabetic and hypeensive patient was found unconscious in the morning. On examination pulse- 120, bp- 180/100 and there was positive extensor plantar. What is next step to be done?
(A) Order CT scan (B) Immediately reduces bp with antihypeensives (C) Give I/v mannitol (D) Check blood glucose
(D) Ans: D. Check blood glucoseQuick assessment of Blood sugar should be done to rule out hypo or hyperglycemia is needed.In hypoglycemic coma, the eyeball tension is normal, there is profuse sweating and the plantar responses are extensor always either normal or subnormal in uncomplicated cases of either condition.It is well to remember that although a comatose patient is a known diabetic, the diagnosis is not always one of 'hyper- or hypo-glycaemia.