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diagnosis differential causes hyperthermia nephrology toxidromes anesthesia anesthesiology catatonia checklist fever hyperkalemia hyperthermic k malignant ms multiple neuroleptic perioperative person
Comparison - Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Malignant Catatonia - BWH Medicine Chiefs @BrighamChiefs #Serotonin #Syndrome #Neuroleptic
Comparison - Serotonin ... Malignant #Catatonia #NMS ... #SS #comparison ... #diagnosis #management ... #treatment #table
Toxidromes Summary Table Heart Rate - Respiratory Rate - Blood Pressure - Mental Status - Skin -
Toxidromes Summary Table ... Anticholinergic • Serotonin ... Syndrome • NMS ... #Toxidromes #comparison ... #table #toxicology
Management of Serotonin Syndrome Identify and stop all serotoninergic medications • Avoid inadvertent Rx of serotoninergic meds
Management of Serotonin ... Syndrome Identify ... fentanyl, tramadol, etc ... #Syndrome #Management ... #treatment #toxicology
Fever vs Hyperthermia Fever: • Regulated in the hypothalamic thermoregulatory center • "Set point" raised by prostaglandin
TNF-a1pha, IL-6, etc ... Neuroleptic malignant syndrome ... ; Serotonin syndrome ... #Hyperthermia #comparison ... #diagnosis #management
Peri-operative Hyperthermia - Guidelines for Crises in Anaesthesia If prolonged or ≥ 39 C this is a
Treatment depends ... sign) (→ 3-8) • Serotonin ... syndrome (cocaine ... Phaeochromocytoma Neurologic ... Checklist #Diagnosis #Management
Multiple Sclerosis - Summary Multiple Sclerosis (MS) is an autoimmune-mediated neurodegenerative disease of the central nervous system
• Or brainstem syndromes ... Multiple Sclerosis Treatment ... objective evidence of neurologic ... sclerosis #diagnosis #management ... #neurology #treatment
Stiff Person Syndrome (SPS) - Diagnosis and Management Summary Epidemiology: • Prevalence: 1-2 cases per million -
Diagnosis and Management ... autoantibodies - TPO, TTG, etc ... Treatment: • ... SPS #Diagnosis #Management ... #treatment #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... Herpes, Coxsackie, etc ... per day until stable ... Differential #Diagnosis #Management ... #nephrology
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Diagnosis and Management ... heparinized tube) • ECG ... Elimination (see Table ... Bicarb<22) - avoid NS ... #nephrology #K
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
• Serotonin Syndrome ... dopamine blockers (e.g ... Hyperthermic #Toxidromes #comparison ... #table #diagnosis ... #differential #toxicology
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