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diagnosis treatment criticalcare epilepticus admissions admitting crisis differential encephalopathy evaluation hyperkalemia icu mgh myastheniagravis myasthenic nephrology pearls pediatrics perioperative person
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... • EEG: With persistent ... Seizures: Treat with AEDs ... #diagnosis #management ... #neurology
Admitting in the ICU - Checklist VITALS: If bad, stop and go see the patient immediately; you
Admitting in the ICU - Checklist ... hyponatremia, AKI, etc ... if the pt has pre-existing ... /management of shock ... current clinical status
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Optimize volume status ... Treatments: • Calcium 2- ... 10U reg IV + 1-2
Myasthenic Crisis Checklist - Myasthenia Gravis Evaluation - Chest X-ray and lung ultrasound (exclude other lung
Myasthenic Crisis Checklist ... - Infectious workup ... capacity: Monitor 2- ... procainamide, statins ... #Management #CriticalCare
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Diagnosis and Management ... Prevalence: 1-2 ... antibody that works ... SPS #Diagnosis #Management ... #treatment #neurology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... maximum of 24 mcg ... Epilepticus #seizure #Management ... #neurology #pediatrics ... #peds #algorithm
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Cardiac, pulmonary etc ... leukodystrophies 2. ... toxins: Steroids, Statins ... dystrophies Work ... Differential #Diagnosis #neurology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Evaluation Major Pre-Op ... event, follow ACC algorithm ... Obtain EKG if: ... Cataract Plan for Meds ... medical and surgical management
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
MGH Status Epilepticus ... over 5 min (need EKG ... pre/post) 3rd ... Treatment #Protocol #algorithm ... #neurology #management
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