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diagnosis algorithm treatment causes epilepticus status acidosis blockade classification criticalcare elevation encephalopathy gravis hyperkalemia k lactate lactic mgh monitoring myasthenia
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department Does the history suggest a seizure?
the Patient with Seizure ... history suggest a seizure ... additional symptoms (eg ... speech abnormality, etc ... #management #Neurology
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Management of Convulsive ... Stabilization Phase (Seizure ... of 2 mcg/Kg/minute ... maximum of 24 mcg ... #Management #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Reversible course Differential ... • EEG: With persistent ... : Treat with AEDs ... Syndrome #diagnosis #management ... #neurology
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... disorder (Cardiac, pulmonary ... etc) • CNS -> ... electromyographic (EMG ... #Diagnosis #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - Differential ... Framework and Management ... exertion/training - Seizures ... Herpes, Coxsackie, etc ... causes #treatment #nephrology
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... by excretion (e.g ... its metabolism (e.g ... hypoxemia/Sepsis etc ... output - Acute pulmonary
Neuromuscular Blockade (Paralytics) and Monitoring Neuromuscular blockade caring for patients with severe ARDS and may reduce mortality.
induced lung injury (e.g ... Monitoring: • EEG ... Monitoring - Use EEG ... Paralytics #Monitoring #neurology ... #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... Medications: K+, ACEi/ARBs ... diuretics, Saline infusion ... heparinized tube) • ECG ... Treatment #potassium #nephrology
Myasthenia Gravis Overview Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction. Ab to
proximal weakness, arms ... life-threatening Differential ... Serologic and EMG ... Gravis #diagnosis #management ... #neurology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... Protocol #algorithm #neurology ... #management
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