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management diagnosis neurology differential causes epilepticus status encephalopathy pediatrics posterior reversible 3 gitelman hyperkalemia hypokalemia hyponatremia intercellularshift mgh pathophysiology protocol
Status Epilepticus - Management Seizure > 5 mins or two seizures without complete recovery between them PEDS Benzo Dose
between them PEDS ... → Benzo Dose 2 ... #management #treatment ... #algorithm #peds ... #pediatrics #neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Encephalopathy Syndrome ... (PRES) - Treatment ... reduction within first 2- ... are preferred Seizure ... #Neurology
Rhabdomyolysis - Differential Diagnosis and Management Summary Trauma: • Immobilization, Crush iniury, Compartment syndrome, Electrical injury Exertional: •
iniury, Compartment syndrome ... exertion/training, Seizures ... Neuroleptic malignant syndrome ... Shift of extracellular ... oxidative iniury Treatment
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary Causes of Rhabdomyolysis: • Trauma: - Immobilization - Crush injury - Compartment
Rhabdomyolysis - ... - Compartment syndrome ... exertion/training - Seizures ... Shift of extracellular ... #nephrology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
: Acute onset 2. ... epilepticus Treatment ... underlying cause • Treatment ... : Treat with AEDs ... diagnosis #management #neurology
Causes of Hyperkalemia - Intercellular Shift - Differential Diagnosis Algorithm Transcellular Shift - Appropriate renal excretion (GFR,
Intercellular Shift ... Tumor Lysis Syndrome ... , rhabdomyolysis ... Resistance • Beta-2 ... IntercellularShift #Nephrology
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
2) Is ADH elevated ... demyelination syndrome ... of symptomatic (seizures ... #management #nephrology ... #sodium
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
mg) slowly over 2- ... IV Thiopental Sodium ... #Management #neurology ... #pediatrics #peds ... #algorithm
Gitelman Syndrome Overview What? • Inherited (AR) hypokalemic salt-losing tubulopathies affecting the thiazide-sensitive sodium chloride cotransporter • Gitelman's syndrome
thiazide-sensitive sodium ... tachycardia • Seizures ... • Rhabdomyolysis ... Treatment - ... #diagnosis #nephrology
MGH Status Epilepticus Treatment Protocol 1st line (seizures ongoing for 5-10 mins): - Lorazepam 4mg IV
Status Epilepticus Treatment ... Protocol 1st line (seizures ... -30 mins) - If seizures ... min (need EKG pre ... #Protocol #algorithm
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