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management differential causes checklist delirium treatment algorithm altered ams micu neurology aflp alcohol aws cardiology chf clinical comparison disease etoh
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Posterior Reversible Encephalopathy ... Syndrome (PRES) ... confusion, or agitation ... Posterior #Reversible #Encephalopathy ... #Syndrome #Diagnosis
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
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
- Differential Diagnosis ... • Hypertensive encephalopathy ... • Cushing’s syndrome ... NCSE • Delirium/agitation ... • Serotonin syndrome
Checklist for Treatment of Delirium in the ICU Remove causative factors - Exclude hypoglycemia if
Delirium in the ICU ... If Wernicke's encephalopathy ... treatment for hepatic encephalopathy ... severe nocturnal agitation ... #CriticalCare
Causes of Encephalopathy - Differential Diagnosis Algorithm Hyperacute: - Primary Neurologic: Vascular (IS, ICH), Seizure, Migraine, Trauma
Causes of Encephalopathy ... - Differential Diagnosis ... Vascular (IS, ICH ... paraneoplastic syndromes ... #Differential #Diagnosis
Mydriasis and Miosis - Differential Diagnosis Framework Causes of Mydriasis: Dilated pupils (mydriasis) more than 7mm • Unilateral
- Differential Diagnosis ... Brainstem herniation (Comatose ... mushrooms, PCP, Ketamine ... Miosis: Horner's syndrome ... #differential #diagnosis
Checklist for Evaluation of New-Onset Delirium in the ICU Initial assessment - Vital signs, neuro exam
Delirium in the ICU ... if hypercapneic encephalopathy ... Evaluation #Workup #MICU ... #CriticalCare # ... Diagnosis
Post-Intensive Care Syndrome (PICS) Symptoms of PICS: - Physical Domain: Generalized weakness, Fatigue, Difficulty walking - Cognitive
Post-Intensive Care Syndrome ... IntensiveCare #Syndrome ... #PICS #diagnosis ... #management #criticalcare ... #icu
Acute Altered Mental Status - Rapid Response Management 1) Ask while en route: vitals, hyper/hypoactive, POC glucose,
• Hyperactive (Agitation ... Hypoactive 3) Examine ... 4) Diagnosis and ... status #Management #criticalcare ... #encephalopathy
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
Differential Diagnosis ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... • If ok with ICU ... #diagnosis
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