29 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
epilepticus which may cause ... epilepticus may cause ... aspiration, hyperkalemia ... #Management #Neurology ... #Algorithm #PulmCrit
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 ... #management #Neurology
Hyperkalemia shortens repolarization; changes in the T wave provide the earliest clues to hyperpotassemia.
 - At
Hyperkalemia shortens ... repolarization causes ... prolonged PR and QT ... #EKG #ECG #Changes ... #Progression #Table
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Reflex Testing - Causes ... Hyporeflexia: • Hypercalcemia ... polyneuropathy (e.g ... differential #diagnosis #table ... #neurology
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 ... #Management #neurology ... pediatrics #peds #algorithm
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Altered mental status ... symptoms and signs (e.g ... fever, myalgia), seizures ... CNS infection (e.g ... #neurology #PHANTOMS
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... is available or seizure ... Convulsive #management #neurology ... #seizures #ACEP
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue ... Liver Failure • Hypercalcemia ... Pulmonary Disease Neurologic ... • Drug Abuse (e.g ... #causes
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
Remote Symptomatic Cause ... Remote Symptomatic Cause ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Management Summary Causes ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Herpes, Coxsackie, etc ... per day until stable