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management altered ams comatose dermatomes encephalopathy extremity hyperkalemia hypertension k lowerlimb mental motor myotomes nephrology posterior potassium pres reversible rheumatology
Altered Mental Status - Differential Diagnosis • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Mental Status - Differential ... Diagnosis • Neurologic ... Other: Insomnia, HTN ... Mental #Status #AMS ... Diagnosis #Causes
Lower Extremity Dermatomes and Myotomes Reflexes: • Knee - L2, L3, L4 • Ankle - S1
Reflexes: • Knee ... Commonly caused ... Dermatomes #Myotomes #diagnosis ... #neurology #sensory ... #motor #leg #physicalexam
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
Diagnosis Approach ... most pts have HTN ... Neurologic disorders ... #Differential # ... Diagnosis #indications
The Neurological Evaluation of a Comatose Patient Definition: • Coma: a state of unresponsiveness; the absence of
consciousness Differential ... normal in sleep; indicators ... for presence of clonus ... caseyalbin #PhysicalExam ... #neurology #comatose
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
may precede the neurologic ... edema visualized as ... Reversible course Differential ... the underlying cause ... • Treatment of HTN
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Hyperkalemia - Diagnosis ... only if no clear cause ... Insulin 5-10U reg ... ) - caution in HTN ... Treatment #potassium #nephrology
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
arthralgia, arm/leg ... affects the skin, neurologic ... tract, and often causes ... purpura (lower legs ... aneurysms can also
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