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diagnosis differential neurology encephalopathy management causes posterior reversible treatment ams cerebritis comparison erythematosus headache hypertension hyperthermic lupus mnemonic phantoms rhabdomyolysis
Hypertension and Altered Mental Status (AMS) - Differential Diagnosis Framework Hypertension: • Hypertensive emergency • Hypertensive encephalopathy
Hypertension and Altered ... Mental Status ( ... encephalopathy • PRES ... compensatory HTN • Seizures ... /agitation • CNS
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
(PRES) - Diagnosis ... Clinical Features: • Altered ... mental status ( ... agitation) • Seizures ... Immunomodulatory meds
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
• Headache • Seizures ... • Headache • Seizures ... Constipation, Seizures ... 2-3 mEq/L • Seizures ... : Treat with AEDs
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
papilledema • Horner syndrome ... HIV, or lyme • Altered ... mental status, ... fever, myalgia), seizures ... brain lesion • CNS
CNS Manifestations of Systemic Lupus Erythematosus (SLE) Clinical Manifestations: Demyelinating Syndrome, Headache, Movement disorders, Seizure disorders, Aseptic
CNS Manifestations ... Demyelinating Syndrome ... 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
Hyperthermic Toxidromes Five toxidromes may present with overlapping features: hyperthermia, rhabdomyolysis, altered mental status/seizures. • Sympathomimetic -
rhabdomyolysis, altered ... mental status/seizures ... signaling in the CNS ... • Serotonin Syndrome ... serotoninergic meds
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