28 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
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Toxic: Alcohol, Medication ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... epilepticus which may cause ... epilepticus may cause ... #Management #Neurology ... #Algorithm #PulmCrit
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Indications for ... Hypertonic Saline: seizure ... 3cc/kg/h, loop diuretics ... Correction #goal #rate #management ... #nephrology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
Diuretics and Agents ... irrigation • Management ... Kidney stones caused ... #Nephrology #Pharmacology ... #Medications #Table
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... administration • Osmotic diuresis ... Polyuria scheme) e.g ... Hypernatremia #Nephrology ... #Causes
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Etiology: • Medications ... heparinized tube) • ECG ... only if no clear cause ... Elimination (see Table ... Treatment #potassium #nephrology
Causes of Polyuria - Differential Diagnosis Algorithm
Polyuria - Urine Output > 3L/day, Increased Urine Volume (>2ml/min)
Osmotic
Causes of Polyuria ... /min) Osmotic Diuresis ... concentration (e.g ... #Polyuria #Nephrology ... #Causes
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
time you have a case ... normal volume-based algorithm ... (AKI, Post-AKI diuresis ... differential #diagnosis #table ... #sodium #nephrology
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