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Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Encephalopathy ... Syndrome (PRES) ... Altered mental status ... agitation) • Seizures ... constant, global, and refractory
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment
Blood pressure control:
 • Aim for 10-25% BP reduction within
Posterior Reversible ... Encephalopathy ... Syndrome (PRES) ... are preferred Seizure ... #Encephalopathy
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Posterior Reversible ... Encephalopathy ... Altered mental status ... : Treat with AEDs ... #Encephalopathy
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
Altered mental status ... , analgesics refractory ... fever, myalgia), seizures ... • Hypertensive encephalopathy ... #mnemonic
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Concurrently search for reversible ... is available or seizure ... succinylcholine REFRACTORY ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
of Convulsive Status ... Refractory Status ... #Management #neurology ... #pediatrics #peds ... #algorithm
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