9 results
Management of status epilepticus

Big thanks to Dr. Grossman, one of MetroHealth's neurocritical care attendings for his
- MH/CCF/CWRU EM ... Management #Seizure #Algorithm ... #CriticalCare #Neurology
Hyponatremia - Differential Diagnosis Algorithm
ADH Independent:
 • Tea and Toast Syndrome, Beer Potomania - Low solute
Differential Diagnosis Algorithm ... Independent: • Tea ... Differential #Diagnosis #Algorithm ... #causes #nephrology
Membranoproliferative Glomerulonephritis (MPGN) AKA: Mesangiocapillary GN
 • Active Urine Sediment (dysmorphic RBC, RBC casts, +/- proteinuria)
immune deposits on EM ... microangiopathy (TMA ... Glomerulonephritis #MPGN #nephrology
Drug Induced Kidney Injury
 • Pre-Renal: NSAIDS, CNI, ACEI/ARB, IL-2 therapy, Diuretics CAR-T therapy
 • Osmotic
induced vasculitis, TMA ... differential #diagnosis #algorithm ... #nephrology #Medications
Hyponatremia Correction
1. Indications for Hypertonic Saline: seizure, coma, focal findings
   - typically occurs with
Syndrome - Tx ... MH/CCF/CWRU EM ... rate #management #nephrology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
Differential Diagnosis Algorithm ... Potomania - Tea ... Differential #Diagnosis #Algorithm ... #diagnosis #nephrology
Podocytopathies - Differential Diagnosis Algorithm

No podocytopenia - EM shows minimal change disease
 • Minimal Change Nephropathy
Podocytopenia
Differential Diagnosis Algorithm ... podocytopenia - EM ... Differential #Diagnosis #Algorithm ... #nephrology
Hyponatremia - Differential Algorithm
Isotonic Hyponatremia: Hyperlipidemia, Hyperproteinemia, Recent TURP
Hypotonic Hyponatremia: 
 • Hypovolemia: Diuretics/Nephropathies, Vomiting, Diarrhea,
- Differential Algorithm ... MH/CCF/CWRU EM ... #Differential #Algorithm ... diagnosis #causes #nephrology
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
/kg/hr (< 5 if tx ... Treatment #Protocol #algorithm ... #neurology #management