WHAT WAS MRS JOHNSON’S GCS INITIALLY WHEN SHE COLLAPSED?

Presenting complaint
Mrs Johnson is a 42-year-old games developer who has just arrived in A&E. Today whilst working she suddenly collapsed onto her desk. A colleague witnessed the collapse, describing the lady holding her head briefly, then losing consciousness, hitting the front of her face against the desk. The colleague explains that her whole body began jerking and he was unable to rouse her. The jerking stopped after a few minutes and she remained very drowsy, localizing to pain, making incomprehensible sounds and not opening her eyes.

On arrival of the paramedics, Mrs Johnson’s conscious level had improved, with her following commands, opening her eyes spontaneously, but remaining disorientated in place and time.

As you enter Mrs Johnson’s hospital room, she appears alert, with eyes opening spontaneously. She is orientated in time, place, person and is able to follow commands.

WHAT WAS MRS JOHNSON’S GCS INITIALLY WHEN SHE COLLAPSED? WHAT WAS THE GCS ON ARRIVAL OF THE PARAMEDICS? WHAT WAS THE GCS ON YOUR ARRIVAL?
History
WHAT INITIAL QUESTIONS MIGHT BE USEFUL TO GAIN FURTHER DETAILS SURROUNDING THE EVENT THAT HAS LEAD TO HER PRESENTATION? WHAT QUESTIONS WOULD YOU LIKE TO ASK ABOUT HER CURRENT SYMPTOMS? WHAT OTHER QUESTIONS MIGHT YOU ASK TO COMPLETE YOUR HISTORY TAKING?
Examination
WHICH SYSTEMS WOULD YOU LIKE TO PERFORM A CLINICAL EXAMINATION ON?

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