9 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... → Benzo Dose 2 ... management #treatment #algorithm ... #neurology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Repeat the sodium ... Step 2. ... Assess volume status ... Diagnosis #Workup #Algorithm ... #Nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Altered mental status ... Either lethargy, confusion ... agitation) • Seizures ... Immunomodulatory meds ... Syndrome #Diagnosis #Neurology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... renal mechanism 2) ... Volume Status ... Diagnosis #Workup #Algorithm ... #nephrology #sodium
Hyponatremia Diagnostic Algorithm
1) Check serum osmolality
2) Check urine osmolality
3) ADH Dependent - Check volume status, urine
Algorithm 1) Check ... serum osmolality 2) ... - Check volume status ... , urine sodium, ... #nephrology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
2) Is ADH elevated ... Assess volume status ... of symptomatic (seizures ... Treatment #management #nephrology ... #sodium
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Altered mental status ... Altered mental status ... may precede the neurologic ... : Treat with AEDs ... diagnosis #management #neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
mg) slowly over 2- ... IV Thiopental Sodium ... #Management #neurology ... #pediatrics #peds ... #algorithm
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... min (need EKG pre ... Treatment #Protocol #algorithm ... #neurology #management