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neurology algorithm causes seizures alice alkalosis chloride clinical epilepticus gitelman hypernatremia hypokalemia hypotonic management mri pathophysiology patterns physiologic radiology status
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Diagnosis Algorithm ... vasoconstriction syndrome ... Neurocysticercosis, PML • Metabolic ... Hyperglycemia, Hyponatremia ... #Causes #neurology
Hypernatremia - Differential Diagnosis Workup Algorithm 1) Check Urine Osmolality: > 600 mOsm/kg - Implies extrarenal mechanism
Differential Diagnosis ... • Euvolemic (Low ... #Differential # ... #Algorithm #nephrology ... #sodium
Alice in Wonderland Syndrome What? Metamorphophsia - Distortions of the visual perceptions with changes in size (micro
in Wonderland Syndrome ... encephalitis) • Brain ... • Psychiatric disorders ... #diagnosis #neurology ... #differential
Imaging Patterns of Toxic and Metabolic Brain Disorders Thalami, Mammillary Bodies and Tectum: Wernicke Encephalopathy Dentate Nuclei: Metronidazole,
Brain Disorders ... Globi Pallidi T2 Low ... #Brain #Disorders ... #Clinical #Differential ... #Diagnosis #Radiology
Physiologic Approach to Hypotonic Hyponatremia The next time you have a case of hypotonic hyponatremia, give the
can be high or low ... Cirrhosis, Nephrotic syndrome ... #differential # ... diagnosis #table ... #sodium #nephrology
Metabolic Alkalosis - Urinary Chloride Algorithm Cl- responsive metabolic alkalosis • Kidney loss of Cl-
alkalosis • Normal/low ... , Gitelman syndrome ... urine #Algorithm #nephrology ... #differential # ... diagnosis
Hyponatremia - Differential Algorithm Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP Hypotonic Hyponatremia: • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
Hyponatremia - Differential ... Cirrhosis, Nephrotic Syndrome ... Algorithm #diagnosis ... #causes #nephrology ... #sodium #low
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
Weakness - Differential ... Diagnosis Framework ... Non-neuromuscular disorder ... nervous system: Brain ... #Diagnosis #neurology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... thiazide-sensitive sodium ... alkalosis • Normal or low ... ratio 0.5%) Differential ... #diagnosis #nephrology
Causes of Status Epilepticus in Adults METABOLIC DISTURBANCES Hepatic encephalopathy Hypocalcemia Hypoglycemia or hyperglycemia Hyponatremia Uremia INFECTIOUS PROCESSES Central nervous system abscess Encephalitis Meningitis WITHDRAWAL SYNDROMES Alcohol Antiepileptic drugs Baclofen Barbiturates Benzodiazepines CENTRAL
Epilepticus in Adults METABOLIC ... hyperglycemia Hyponatremia ... Meningitis WITHDRAWAL SYNDROMES ... malformations Brain ... #diagnosis #causes
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