10 results
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... speech abnormality, etc ... - Postictal state ... Seizure #management #Neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Differential Diagnosis Algorithm ... Altered mental status ... symptoms and signs (e.g ... CNS infection (e.g ... #neurology #PHANTOMS
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
resonance imaging, EEG ... #encephalitis #comparison ... #table #neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... Pulse oximetry • Electrocardiogram ... StatusEpilepticus #Management #Algorithm ... #Neurology #pharmacology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
of Convulsive Status ... infusion of 2 mcg ... maximum of 24 mcg ... seizure #Management #neurology ... pediatrics #peds #algorithm
Peritoneal Dialysis vs Hemodialysis - Advantages and Disadvantages 
Peritoneal Dialysis:
 • Access: Abdominal wall insertion of
can be offered (e.g ... #Hemodialysis #comparison ... #table #advantages ... disadvantages #nephrology
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
monitor respiratory status ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Medications #Neurology ... Pharmacology #Dosing #Table
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Cardiac, pulmonary etc ... toxins: Steroids, Statins ... aminotransferases • Serology ... electromyographic (EMG ... Differential #Diagnosis #neurology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
heparinized tube) • ECG ... Elimination (see Table ... Optimize volume status ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... over 5 min (need EKG ... mins) REFRACTORY STATUS ... Treatment #Protocol #algorithm ... #neurology #management