36 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
Management of status ... epilepticus Big ... of status epilepticus ... #Algorithm #CriticalCare ... #Neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
which may cause ... may cause aspiration ... #Management #Neurology ... #CriticalCare # ... Status #Epilepticus
Approach to Hypomagnesemia 

Fractional excretion of magnesium = (urine magnesium x serum creatinine)/ [0.7 (serum magnesium
intake, Gl loss, shift ... cells FEMg >4% = renal ... magnesium loss if renal ... differential #diagnosis #causes ... #nephrology #magnesium
Hypophosphatemia - Differential Diagnosis Algorithm
 • Decreased intake/absorption: Starvation, Alcoholism, Malabsorption, Phosphate binder use
 • Redistribution/
Redistribution/ Shift ... bone syndrome • Renal ... Diagnosis #Algorithm #causes ... #nephrology #phosphate
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
Indications for tPA in Stroke ... • Measurable neurologic ... present, in which case ... #cva #management ... #neurology
Hypokalemia Differential Algorithm
Acidosis
 - RTA
 - Diarrhea
pH Normal 
 1. Decreased Mg 
 2. Intracellular Shift
Intracellular Shift ... Renal artery stenosis ... Algorithm #Diagnosis #Causes ... #Workup #Nephrology
Hematuria - Differential Diagnosis Framework

Gross Hematuria: Red/Dark urine
 • 1ml blood/liter urine can induce color change
thrombosis • Renal ... Hematuria: • Stone ... TURP/Biopsy Renal ... #urology #nephrology ... #renal #urine #
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
• IV Fluids Shift ... (if preserved renal ... #Hyperkalemia #management ... #potassium #nephrology
Drugs associated with hypokalemia and hypomagnesemia

Hypokalemia
- Shift from extracellular fluid to intracellular fluid compartment
  -
Hypokalemia - Shift ... Extrarenal Laxatives - Renal ... pump inhibitor - Renal ... differential #diagnosis #nephrology ... #Causes #hypomg
Status Epilepticus Management

 • Definition of Status Epilepticus
 • Diagnostic Workup
 • Potential Causes

Treatment of Status
Management ... • Potential Causes ... #Management #epilepsy ... #neurology #seizure ... #management #treatment