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

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Diagnosis Algorithm ... symptoms and signs (e.g ... fever, myalgia), seizures ... CNS infection (e.g ... #neurology #PHANTOMS
Medications Used in the Abortive Treatment of Ongoing Seizure Activity in the Emergency Department

INITIAL THERAPY
 -
of Ongoing Seizure ... Pentobarbital - Titrate to EEG ... Midazolam - Titrate to EEG ... #Medications #Neurology ... Pharmacology #Dosing #Table
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
may precede the neurologic ... Reversible course Differential ... • EEG: With persistent ... epilepticus Treatment ... diagnosis #management #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... exertion/training - Seizures ... Herpes, Coxsackie, etc ... per day until stable ... #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: ... #neurology
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
Weakness - Differential ... Cardiac, pulmonary etc ... dystrophies Work ... electromyographic (EMG ... #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 ... #potassium #nephrology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... #diagnosis #differential ... #algorithm #management ... #table #foamed ... heartfailure #chf #criticalcare
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Status Epilepticus Treatment ... Protocol 1st line (seizures ... over 5 min (need EKG ... #Protocol #algorithm ... #neurology #management