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clinical pocus diagnosis differential causes management encephalopathy nephrology neurology rhabdomyolysis syndrome algorithm hemoperitoneum hydronephrosis hyponatremia posterior pres reversible severe stone
REBEL Review 99: Serotonin Syndrome via Yosuf Alam, MSIV Presentation: Altered mentd status, Seizures, Myoclonus, Hypertension, Hyperthermia
Altered mentd status ... , Seizures, Myoclonus
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Altered Mental Status ... compensatory HTN • Seizures ... Acute/Chronic renal ... failure • Renal ... • Scleroderma renal
Differential Diagnosis and Evaluation of Hyponatremia: 1) Identification of onset (acute vs. chronic) 2) Presence of symptoms (HA,
nausea, confusion, seizures ... Assessment of volume status ... cardiac, liver, renal
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Altered mental status ... agitation) • Seizures ... inhibitors • Renal
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... Altered mental status ... Altered mental status ... Immunosuppressive agents, Renal ... nonconvulsive status
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
of Convulsive Status ... Consider CBC, renal ... Early Status Epilepticus ... ) Established Status ... Refractory Status
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
exertion/training, Seizures ... Drugs (Statins), ... HYPOTENSION -> renal ... renal ischemia ... Cast formation: Renal
Causes of Prolonged Emergence - Anesthesiology Prolonged Drug Action: • Overdose • Hypothermia (< 33 C) • Incr
hepatic — renal ... ischæmia • Seizure ... — post-ictal state
Creatine Kinase - Causes of Elevated CK Levels Acute CK Elevation (Pain > Weakness): • RHABDOMYOLYSIS
- Medications: statins ... strep) - Seizures ... infarction, Acute renal ... - Medications- Statins
Hyponatremia (<135 mEq/L) is a common electrolyte abnormality caused by an excess of total body water
asymptomatic to seizures ... hyponatremia in renal ... based on volume status ... In certain states ... sodium in the renal
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