12 results
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... cause aspiration, hyperkalemia ... #Management #Neurology ... #CriticalCare # ... #Algorithm #PulmCrit
Treatment of hyperkalemia via kaliuresis 
step 1 = volume resuscitation if hypovolemic
step 2 = consider fludrocortisone
step
Treatment of hyperkalemia ... to diuretic #hyperkalemia ... kaliuresis #management #criticalcare ... diuretics #diuresis #nephrology ... #algorithm
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Hypomagnesemia, Hypocalcemia ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Secondary / Provoked Seizures ... Differential Diagnosis Algorithm ... Hyperglycemia • Hypocalcemia ... #Neurology #Differential ... #Diagnosis #Algorithm
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
epilepticus #Management #Seizure ... #Algorithm #CriticalCare ... #Neurology
Modified Hyponatremia Algorithm
Hypertonic Hyponatremia: Hyperglycemia, Mannitol, Urologic irrigants
Hypotonic Hyponatremia: 
 • ADH ON (UOsm > 100):
Modified Hyponatremia Algorithm ... ON (UNa < 30): Hypovolemia ... #Hyponatremia #Algorithm ... #diagnosis #sodium ... #nephrology
Physiologic Approach to Hypotonic Hyponatremia
The next time you have a case of hypotonic hyponatremia, give the
normal volume-based algorithm ... : SIADH, Renal Sodium ... Present (Uosm ≥100): Hypovolemia ... diagnosis #table #sodium ... #nephrology
Gitelman Syndrome Overview

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

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Hypotension & Hypovolemia ... Hypothermia & Shivering, Seizures ... toxic alcohols, Sodium ... Differential #Diagnosis #criticalcare
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... IV Thiopental Sodium ... #Management #neurology ... pediatrics #peds #algorithm