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neurology diagnosis management treatment differential encephalopathy epilepticus posterior reversible causes cerebritis cns erythematosus lupus mgh mnemonic pediatrics phantoms protocol rhabdomyolysis
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Altered mental status ... agitation) • Seizures ... Generalized > focal) • Headache ... constant, global, and refractory ... Immunomodulatory meds
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... Altered mental status ... , analgesics refractory ... fever, myalgia), seizures ... #neurology #PHANTOMS
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Seizures ... • Headache ... • Seizures • Vision ... Constipation, Seizures ... 2-3 mEq/L • Seizures
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
Stabilization Phase (Seizure ... (Seizure 5-30 ... Epilepticus (Seizure ... If seizure continues ... Refractory Status
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... , Headache, Movement ... disorders, Seizure ... Cerebrovascular Disease, PRES ... Secondary prevention (statin
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
exertion/training - Seizures ... Toxins - Drugs - Statins ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Protocol 1st line (seizures ... -30 mins) - If seizures ... min (need EKG pre ... (30 - 60 mins) REFRACTORY ... Treatment #Protocol #algorithm
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