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diagnosis neurology causes algorithm posterior reversible treatment altered ams elderly geriatrics headache hypokalemia mnemonic outpatient phantoms primarycare rhabdomyolysis seizure seizures
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Status (AMS) - Differential ... encephalopathy ... • PRES • Sympathetic ... • Cushing’s syndrome ... Hyperthyroidism CNS: • Stroke
Outpatient Hypertension Management Algorithm Monotherapy: • Thiazide/thiazide-like • ACE-I (non-black patients), • ARB
Management Algorithm ... • Hypertensive Encephalopathy ... Acute Ischemic Stoke ... Acute Coronary Syndrome ... Injury • Pre-Eclampsia
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... Risk Factors: • Hypertensive ... - Strong Medicine ... #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... - Strong Medicine ... #Syndrome #Treatment ... #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... Reversible course Differential ... Constipation, Seizures, Stroke ... #management #neurology
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
to Headaches - Differential ... papilledema • Horner syndrome ... conditions: • Stroke ... Hemorrhage • Hypertensive ... encephalopathy
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
of Seizures - Differential ... : • Vascular: Stroke ... , Hypertension, ... vasoconstriction syndrome ... Cerebral Hypoxia, Uremia
Causes of Hypokalemia Transcellular Shifts: - Alkalosis, Increased plasma insulin (treatment of diabetic ketoacidosis), ß-Adrenergic agonists, Hypokalemic
(mimics thiazide ... exercise, Heat stroke ... megaloblastic anemia ... Hypokalemia #Causes #differential ... #diagnosis #nephrology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Framework and Management ... Heat injury, Heat stroke ... injured muscles - HYPOTENSION ... causes #treatment #nephrology
Differential Diagnosis: New-Onset Seizure in the Elderly STRUCTURAL: • Stroke/TIA, Subdural hematoma, mass • Traumatic Brain Injury
Differential Diagnosis ... STRUCTURAL: • Stroke ... Seizure Mimics: ... behavior disorder can mimic ... #Differential #Diagnosis
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