11 results
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework

Hypertension:
 • Hypertensive emergency
 • Hypertensive encephalopathy
Hypertension and Altered ... - Differential Diagnosis ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... #Diagnosis #causes
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... Features: • Altered ... confusion, or agitation ... #Syndrome #Diagnosis
Clinical Manifestations of Serotonin Syndrome
 • Ophthalmologic: Mydriasis, Ocular clonus (slow horizontal movements)
 • Gastrointestinal: Diarrhea,
Manifestations of Serotonin Syndrome ... flushing • CNS: Agitation ... Life-Threatening): Akathisia, Altered ... Symptoms #spectrum #signs ... #diagnosis
Acute Altered Mental Status - Rapid Response Management

1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
Acute Altered Mental ... • Hyperactive (Agitation ... Hypoactive 3) Examine ... status #Management #criticalcare ... #encephalopathy
Pain, Agitation, and Delirium (PAD) in the ICU
Addressing the ICU Triad (PAD) can be accomplished through
Pain, Agitation, ... Propofol infusion syndrome ... bradycardia • Ketamine ... #CriticalCare # ... diagnosis #management
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
Delirium in the ICU ... assessment - Vital signs ... if hypercapneic encephalopathy ... #CriticalCare # ... Diagnosis
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
- Differential Diagnosis ... papilledema • Horner syndrome ... HIV, or lyme • Altered ... • Meningeal signs ... • Hypertensive encephalopathy
Alcohol Withdrawal Syndrome (AWS) - ICU OnePager

Scoring Alcohol Withdrawal Syndrome (AWS):
 • PAWSS
 • CIWA-Ar
 •
(AWS) - ICU OnePager ... with normal vital signs ... cognition & attention, altered ... • Baclofen & Ketamine ... #AWS #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
extremities, fatigue, altered ... Signs of congestion ... acute coronary syndrome ... heartfailure #chf #criticalcare ... #icu #clinical
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... for signs of meningoism ... • If ok with ICU