43 results
Algorithm for the Workup of Febrile Seizure

Dr. Tom Fadial https://twitter.com/thame

#Febrile #Seizure #Algorithm #Workup #Fever #Neurology #Emergency
Algorithm for the ... Workup of Febrile ... Seizure Dr. ... #Algorithm #Workup ... #Fever #Neurology
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
Generalized Seizures ... by a toxic or metabolic ... Toxic and metabolic ... hyperglycemia, hyponatremia ... Classification #Diagnosis #Neurology
Diagnostic Approach to Hyponatremia
Box A:
 • Normo/hyperosmolar Hyponatremia: Glucose, Mannitol, Glycine, Contrast media, Maltose
 • Pseudohyponatremia:
Diagnostic Approach to Hyponatremia ... 8, Somnolence, Seizures ... Primary Polydipsia, Low ... #Diagnosis #Algorithm ... #workup
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... - Urine sodium low ... and uric acid low ... #Differential #Algorithm ... #Diagnosis #Nephrology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Secondary / Provoked Seizures ... Differential Diagnosis Algorithm ... • Meningitis Metabolic ... Hypocalcemia • Hyponatremia ... #Neurology #Differential
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Neurocysticercosis, PML • Metabolic ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Symptoms - Management Algorithm ... probably not the low ... Na causing the seizure ... Hypertonic #Saline #nephrology
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... and Workup Step ... mmol/L - true hyponatremia ... #Diagnosis #Workup ... #Algorithm #Nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis Workup ... Algorithm 1) ... • Euvolemic (Low ... Differential #Diagnosis #Workup ... #Algorithm #nephrology
Hyponatremia Differential Diagnosis Algorithm - Utilizing Uric Acid 
ADH promotes Urea/uric acid excretion along with water
Hyponatremia Differential ... Diagnosis Algorithm ... Uric Acid - Low ... #nephrology #sodium ... #low #uricacid