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neurology management diagnosis status antiepileptics drugs encephalopathy firsttime headache initiation mgh pediatrics phantoms posterior pres protocol reversible shine start syndrome
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure? SHINE Mnemonic: • first seizure occurred
you start Anti-Epileptic ... Drugs (AEDs) on ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
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 ... #mnemonic
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Convulsive Status Epilepticus ... infusion of 2 mcg ... maximum of 24 mcg ... #neurology #pediatrics ... #peds #algorithm
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Treatment Protocol ... 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... #algorithm #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Reversible course Differential ... • EEG: With persistent ... nonconvulsive status epilepticus ... Treatment: ... : Treat with AEDs
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