10 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... cause aspiration, hyperkalemia ... , rhabdomyolysis ... #Management #Neurology ... #Algorithm #PulmCrit
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Differential Diagnosis ... Framework and Management ... exertion/training - Seizures ... #Management #causes ... #treatment #nephrology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Differential Diagnosis ... and Management ... iniury, Compartment syndrome ... exertion/training, Seizures ... Dialysis for severe hyperkalemia
Gitelman Syndrome Overview

What?
• Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter
• Gitelman's syndrome
salt-losing tubulopathies ... tachycardia • Seizures ... • Rhabdomyolysis ... #diagnosis #nephrology ... #management #pathophysiology
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... - Tumor lysis syndrome ... - Rhabdomyolysis ... Medications 2. ... potassium #high #nephrology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... for Status Epilepticus ... #Algorithm #Neurology ... #pharmacology #dosing ... #seizure
Hyperkalemia - Differential Diagnosis Framework

PseudoHyperkalemia:
 • Lab error
 • Traumatic venipuncture
 • Hemolysis, thrombocytosis, leukocytosis
 •
Diagnosis Framework ... - Tumor lysis syndrome ... - Rhabdomyolysis ... Medications 2. ... potassium #high #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
: Acute onset 2. ... nonconvulsive status epilepticus ... 105 mmHg within 2 ... #diagnosis #management ... #neurology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm
Transcellular Shift - Appropriate renal excretion (GFR,
Causes of Hyperkalemia ... Tumor Lysis Syndrome ... , rhabdomyolysis ... Resistance • Beta-2 ... IntercellularShift #Nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
MGH Status Epilepticus ... Protocol 1st line (seizures ... -30 mins) - If seizures ... Treatment #Protocol #algorithm ... #neurology #management