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management diagnosis treatment differential dosing epilepticus nephrology pharmacology abortive causes encephalopathy headache k medications mgh mnemonic pediatrics peds phantoms potassium
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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Altered mental status ... may precede the neurologic ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... diagnosis #management #neurology
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
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
Management Algorithm for Status Epilepticus • Assess airway, breathing, and circulation • Pulse oximetry • Electrocardiogram • Finger stick (give
Management Algorithm ... for Status Epilepticus ... Pulse oximetry • Electrocardiogram ... #Neurology #pharmacology ... #dosing #seizure
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
exertion/training - Seizures ... Toxins - Drugs - Statins ... Herpes, Coxsackie, etc ... per day until stable ... causes #treatment #nephrology
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department INITIAL THERAPY -
Treatment of Ongoing Seizure ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Medications #Neurology ... Pharmacology #Dosing #Table
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
Protocol 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... Treatment #Protocol #algorithm ... #neurology #management
Sarcoidosis - Diagnosis and Management Summary Epidemiology 1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
hyperphosphatemia, hypercalcemia ... of diagnosis (e.g ... Self-limiting, chronic but stable ... presentations: epileptic seizure ... nodules; anterior/posterior
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