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diagnosis neurology treatment differential epilepticus status causes encephalopathy pediatrics posterior reversible rhabdomyolysis 3 correction gitelman goal hyponatremia low mgh pathophysiology
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
Seizure > 5 mins ... or two seizures ... #Epilepticus #seizures ... #algorithm #peds ... #pediatrics #neurology
Hypokalemia - Differential Diagnosis Algorithm Transcellular Shift: • Alkalosis • ↑ beta-2 adrenergic simulation • Erythropoiesis
Diagnosis Algorithm ... Alkalosis • ↑ beta-2 ... • Refeeding syndrome ... #nephrology #low ... #potassium
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
(PRES) - Treatment ... reduction within first 2- ... are preferred Seizure ... #Treatment #Management ... #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Constipation, Seizures ... 3 mEq/L • Seizures ... #diagnosis #management
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
Diagnosis and Management ... exertion/training, Seizures ... Shift of extracellular ... Monitor potassium ... Dialysis for severe hyperkalemia
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Framework and Management ... exertion/training - Seizures ... Shift of extracellular ... Monitor potassium ... causes #treatment #nephrology
Hyponatremia Correction 1. Indications for Hypertonic Saline: seizure, coma, focal findings - typically occurs with
Hypertonic Saline: seizure ... increasing Na ~5mEq 2. ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
(renal potassium ... tachycardia • Seizures ... Supplement: • Potassium ... #diagnosis #nephrology ... #management #pathophysiology
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 ... #Management #neurology
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 ... Treatment #Protocol #algorithm ... #neurology #management
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