19 results
Pupils: Localization in Coma
 • Small, Reactive pupils: Metabolic coma.
 • Unilateral Fixed, dilated pupil :
Localization in Coma ... pupils: Metabolic coma ... ICH, infarct, Opiate ... • Horner's syndrome ... #Neurology #differential
Reflex Testing - Causes of Hyporeflexia and Hyperreflexia
Focal Hyporeflexia: 
 • Radiculopathy, Mononeuropathy, Polyneuropathy, Acute stroke,
Hypothyroidism, Deep coma ... Guillain-Barré syndrome ... Hyperthyroidism, Serotonin syndrome ... Testing #Causes #differential ... diagnosis #table #neurology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Hyponatremia - Differential ... cirrhosis, nephrotic syndrome ... Disease, Meds (Opiates ... #Hyponatremia #Differential ... Algorithm #diagnosis #nephrology
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Saline: seizure, coma ... Demyelination Syndrome ... Correction #goal #rate #management ... #nephrology
Oncologic Emergencies - Differential Diagnosis Framework

HEMATOLOGIC ONCOLOGIC EMERGENCIES:
Hyperviscosity Syndrome:
 • Spontaneous bleeding
 • Shortness of breath
Emergencies - Differential ... Hyperviscosity Syndrome ... of breath • Neurologic ... output, possible coma ... emergencies #oncology #differential
Quick Guide: Methadone Starts in the Hospital
Day 1: max daily dose 40 mg methadone
First dose
• Check
Use Treatment (SHOUT ... Algorithm #Treatment #Management ... #Addiction #Opiate ... #Start #Prescribing
The Neurological Evaluation of a Comatose Patient

Definition:
 • Coma: a state of unresponsiveness; the absence of
Definition: • Coma ... consciousness Differential ... Unresponsive wakefulness syndrome ... • Locked-in syndrome ... #PhysicalExam #neurology
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
hyperviscosity syndrome ... Priapism #Diagnosis #Management ... #Urology #Differential
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Ptosis - Differential ... Neurogenic Ptosis - Neurologic ... to the tarsal plate ... #Ptosis #neurology ... #Differential #
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
approach to the differential ... demyelination syndrome ... . obtundation. coma ... Diagnosis #Treatment #management ... #nephrology #sodium