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Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
of Seizures - Differential ... Myoclonic, Tonic, Clonic ... Atonic, Tonic-clonic ... vasoconstriction syndrome ... Prophyria #Seizures #Differential
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
Hematuria - Differential ... Gross hematuria + clots ... disease - Alport syndrome ... pain hematuria syndrome ... #Hematuria #Differential
Causes of Post-Partum Hemorrhage - Differential Diagnosis Algorithm
Blood Loss: >500mL post vaginal delivery OR >1000 mL
Post-Partum Hemorrhage - Differential ... Retained blood clots ... TTP) • HELLP syndrome ... Hemorrhage #PPH #Differential
Sustained Clonus in Serotonin Syndrome

- Dr. David Juurlink @DavidJuurlink

#Clonus #serotonin #syndrome #PhysicalExam #Clinical #Video #Knee #Reflexes
Sustained Clonus ... in Serotonin Syndrome ... DavidJuurlink #Clonus ... #serotonin #syndrome
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... Mydriasis, Ocular clonus ... agitated), Tremor, Clonus ... (sustained), Clonus ... ucsdim #Serotonin #Syndrome
ECMO Troubleshooting - OnePager Summary
ECMO Emergency Protocol - Team should train/practice & have necessary supplies at
CIRCUIT THROMBOSIS - Clots ... Clots in oxygenator ... POST-CANNULATION SYNDROME ... problems #diagnosis #differential
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
Eclampsia: Tonic-clonic ... patients • HELLP: Syndrome ... obstetrics #cardiology #differential
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... for presence of clonus
Algorithm for the Diagnosis of Serotonin Syndrome
 - Serotonin syndrome is thought to be caused by
- Serotonin syndrome ... hyperreflexia, inducible clonus ... myoclonus, ocular clonus ... , spontaneous clonus ... Hyperreflexia, clonus
Selective Serotonin Reuptake Inhibitors: Mechanisms and Side Effects
 • Serotonin Syndrome:
   - Autonomic Hyperactivity:
• Serotonin Syndrome ... Abnormalities: Ocular Clonus ... Hyperreflexia, Muscle clonus ... SSRI Withdrawal Syndrome