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

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
status, analgesics refractory ... fever, myalgia), seizures ... • Hypertensive encephalopathy ... #neurology #PHANTOMS ... #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
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
Encephalopathy ... • Headache • Seizures ... • Headache • Seizures ... Constipation, Seizures ... 2-3 mEq/L • Seizures
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
on a first time seizure ... • first seizure ... Antiepileptics #Drugs #Seizure ... Initiation #start #Algorithm ... #Neurology #SHINE
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 • Check and maintain ABC
Stabilization Phase (Seizure ... Epilepticus (Seizure ... If seizure continues ... Epilepticus (Seizure ... #Epilepticus #seizure