23 results
Gamma hydroxybutyrate (GHB) - Toxicology

Clinical presentation
 - Symptoms of GHB toxicity include: short term anterograde amnesia,
of GHB toxicity ... within 4-8h - Seizures ... hallucinations and seizure ... GHB #Toxicology #Toxicity ... #Diagnosis #Management
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Clinical manifestations ... Brain: Hepatic encephalopathy ... hypertension, Seizures ... High output state ... failure #Signs #Symptoms
Diagnostic Algorithm for the Patient with Seizure in the Emergency Department
Does the history suggest a seizure?
the Patient with Seizure ... history suggest a seizure ... of additional symptoms ... Characterize seizure ... Algorithm #Diagnosis #Seizure
Cerebral Toxoplasmosis 
- Most comrnon CNS infection in patients with AIDS 
who are not receiving appropriate
Altered mental status ... • Seizure ... Management First ... pyrimethamine-induced hematologic toxicity ... Diagnosis #Overview #Management
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Neurological symptoms ... Constipation, Seizures ... 2-3 mEq/L • Seizures
Beta-Blocker Overdose/toxicity:

•	Bradycardia & hypotension (most common).
•	Myocardial depression & cardiogenic shock (severe overdoses). 
•	Ventricular dysrhythmias (Common with
Beta-Blocker Overdose/toxicity ... Others (mental status ... change, seizure ... Nearly all develop symptoms ... • Delayed toxicity
CNS Manifestations of Systemic Lupus Erythematosus (SLE)

Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
CNS Manifestations ... Movement disorders, Seizure ... Meningitis, Myelopathy, Encephalopathy ... Secondary prevention (statin ... cerebritis #diagnosis #management
Neuromyelitis Optica (NMO) - Clinical Manifestations
 • Optic neuritis: Reduced visual acuity, ranging from mild to
NMO) - Clinical Manifestations ... facial numbness), Encephalopathy ... with seizures ( ... #Optica #NMO #Manifestations ... diagnosis #neurology #symptoms
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
Salicylate Toxicity ... Diagnosis and Management ... ingestion/exposure Symptoms ... Dizziness, Altered, Seizure ... Salicylate #Aspirin #Toxicity
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Altered mental status ... ) • Systemic symptoms ... fever, myalgia), seizures ... • Hypertensive encephalopathy