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diagnosis neurology differential management treatment epilepticus posterior pres reversible acep altered ams cerebritis cns convulsive erythematosus headache hypertension lupus mnemonic
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Syndrome (PRES) ... Altered mental status ... agitation) • Seizures ... • Hypertensive emergency ... #Neurology
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Altered Mental Status ... • Hypertensive emergency ... • Hypertensive encephalopathy ... • Cushing’s syndrome ... compensatory HTN • Seizures
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible Encephalopathy ... Hypertension/Hypertensive emergency ... the underlying cause ... : Treat with AEDs ... until cause identified
Refeeding Syndrome Overview What Is It? • Electrolyte/fluid shifts caused by initiation of nutrition in severely malnourished patient.
Electrolyte/fluid shifts ... • These shifts ... Post-operative state ... Rhabdomyolysis • Seizures ... • Wernicke encephalopathy
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... Altered mental status ... fever, myalgia), seizures ... • Hypertensive encephalopathy ... #neurology #PHANTOMS
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... Algorithm for Convulsive ... for reversible cause ... is available or seizure ... #seizures #ACEP
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
Demyelinating Syndrome ... Movement disorders, Seizure ... Meningitis, Myelopathy, Encephalopathy ... autoantibodies that will cause ... Secondary prevention (statin
Causes of Status Epilepticus in Adults METABOLIC DISTURBANCES Hepatic encephalopathy Hypocalcemia Hypoglycemia or hyperglycemia Hyponatremia Uremia INFECTIOUS PROCESSES Central nervous system abscess Encephalitis Meningitis WITHDRAWAL SYNDROMES Alcohol Antiepileptic drugs Baclofen Barbiturates Benzodiazepines CENTRAL
Causes of Status ... DISTURBANCES Hepatic encephalopathy ... Meningitis WITHDRAWAL SYNDROMES ... #Epilepticus #Seizures ... #neurology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Management Summary Causes ... exertion/training - Seizures ... Toxins - Drugs - Statins ... Shift of extracellular ... #treatment #nephrology
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