11 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 #Algorithm ... #management #Neurology
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Differential Diagnosis Algorithm ... symptoms and signs (e.g ... fever, myalgia), seizures ... 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
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
on a first time seizure ... neuro-Imaging • abnormal Neurologic ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... infusion of 2 mcg ... maximum of 24 mcg ... #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
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary

Epidemiology:
 • Prevalence: 1-2 cases per million -
unit activity on EMG ... of diazepam • EMG ... antibody that works ... EMG Studies: ... Management #treatment #neurology
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
Weakness - Differential Diagnosis Framework

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

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
reabsorption) Workup ... heparinized tube) • ECG ... Elimination (see Table ... Terbutaline 7 µg/kg ... Treatment #potassium #nephrology