13 results
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
Diagnostic Algorithm ... additional symptoms (eg ... Postictal state #Algorithm ... #Diagnosis #Seizure ... #management #Neurology
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Convulsive Status Epilepticus ... infusion of 2 mcg ... maximum of 24 mcg ... #neurology #pediatrics ... #peds #algorithm
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Algorithm Red ... symptoms and signs (e.g ... fever, myalgia), seizures ... CNS infection (e.g ... #Algorithm #neurology
Pediatric Vomiting - Gastrointestinal and Systemic Causes - Differential Diagnosis Algorithm
Hepatobiliary:
 • Acute Hepatitis
 • Acute
- Differential Diagnosis ... Algorithm Hepatobiliary ... • Uremia • Hypercalcemia ... Other: • Sepsis (e.g ... Psychogenic #Emesis
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
you start Anti-Epileptic ... on a first time seizure ... abnormalities on EEG ... Initiation #start #Algorithm ... #Neurology #SHINE
Causes of Proteinuria - Differential Diagnosis Algorithm
Persistent Proteinuria >150mg/d protein present on repeat testing including overnight
- Differential Diagnosis ... Algorithm Persistent ... Protein deposition (eg ... Amyloidosis) ... #Proteinuria #Nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... Blood transfusion, Hypercalcemia ... • EEG: With persistent ... nonconvulsive status epilepticus ... #management #neurology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
: - Neuro: AMS ... dysrhythmias, seizures ... hydration - Hyperkalemia ... unless worrisome EKG ... Syndrome #TLS #diagnosis
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... over 5 min (need EKG ... Treatment #Protocol #algorithm ... #neurology #management
Causes of Hyperkalemia - Reduced Excretion - Differential Diagnosis Algorithm

Reduced flow through distal nephron - TTKG
Causes of Hyperkalemia ... - Differential Diagnosis ... Algorithm Reduced ... • Low EABV (e.g ... IntercellularShift #Nephrology