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Here is a quick mnemonic “DROWSY STATE to remember about Neurologic Examination In Coma

This can be valuable for patients as well as medical doctors, nurses & students doing their clinical rounds. You can also find it very useful for med exams like USMLE, MBBS, NEET PG, FMGE, NExT, MCAT & NCLEX exams

Neurologic Examination In Coma : How To Remember Easily ?

  • D – Decorticate rigidity and decerebrate rigidity describe stereotyped arm and leg movements occurring spontaneously or elicited by sensory stimulation.
  • R – Reaching up toward the face, crossing legs, yawning, swallowing, coughing, and moaning reflect a drowsy state that is close to normal awakeness.
  • O – Observing the patient without intervention by the examiner is the first step.
  • W – Widespread disorders of any type, regardless of location, frequently cause limb extension.
  • S – Subtle, intermittent twitching movements of a foot, finger, or facial muscle may be the only sign of seizures.
  • Y – Yawning, swallowing, coughing, and moaning are indicative of a drowsy state.
  • S – Spontaneously moving about the bed is another characteristic of a drowsy state.
  • T – Twitching movements of a foot, finger, or facial muscle can be a sign of seizures.
  • A – Asterixis, when observed bilaterally in a drowsy and confused patient, is a sign of metabolic encephalopathy or drug intoxication.
  • T – The lack of restless movements on one side or an outturned leg suggests hemiplegia.
  • E – Extension of the elbows and wrists with pronation (decerebrate posturing) indicates damage to motor tracts caudal to the midbrain


Dr. Arin Nandi

Passionate About Medical Science & Helping Future Doctors Achieve Top Ranks In Medical Exams. He is professionally a dentist as well as a public health expert from JIPMER (1), (2)working in health department