21 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
Status Epilepticus ... between them PEDS ... #Epilepticus #seizures ... management #treatment #algorithm ... #neurology
Pediatric Status Epilepticus Algorithm 

#Status #Epilepticus #Algorithm #Pediatrics #Peds #Neurology #Seizure
Pediatric Status ... Epilepticus Algorithm ... #Status #Epilepticus ... #Peds #Neurology ... #Seizure
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... may cause permanent ... cause aspiration ... #Management #Neurology ... #Seizures #Algorithm
True Hyponatremia Differential Algorithm

Instead (or in addition) of volume status examination, check urine sodium and serum
Differential Algorithm ... addition) of volume status ... sodium low, uric ... and uric acid low ... #Diagnosis #Nephrology
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
Identification of onset (acute ... symptoms (HA, nausea ... , confusion, seizures ... Assessment of volume status ... #Differential #Algorithm
Causes of Hypernatremia - Differential Diagnosis Algorithm
Hypernatremia - Excess free water loss, Serum Sodium >145 mmol/L
High
Causes of Hypernatremia ... mannitol, glucosuria Low ... Urine Osmolality ... #Nephrology #Differential ... #Causes
Hyponatremia with Severe Symptoms - Management Algorithm with Hypertonic Saline
The goal of acute management is to
Hyponatremia with ... Saline The goal of acute ... probably not the low ... Na causing the seizure ... Hypertonic #Saline #nephrology
Hypernatremia - Differential Diagnosis Workup Algorithm

1) Check Urine Osmolality:
 > 600 mOsm/kg - Implies extrarenal mechanism
Diagnosis Workup Algorithm ... 1) Check Urine ... mechanism 2) Volume Status ... • Euvolemic (Low ... #nephrology #sodium
Causes of Status Epilepticus in Adults
METABOLIC DISTURBANCES
Hepatic encephalopathy
Hypocalcemia
Hypoglycemia or hyperglycemia
Hyponatremia
Uremia
INFECTIOUS PROCESSES
Central nervous system abscess
Encephalitis
Meningitis
WITHDRAWAL SYNDROMES
Alcohol
Antiepileptic drugs
Baclofen
Barbiturates
Benzodiazepines
CENTRAL
Causes of Status ... Epilepticus in ... hyperglycemia Hyponatremia ... #Epilepticus #Seizures ... #neurology
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Measure urine osmolality ... Assess volume status ... the underlying cause ... of symptomatic (seizures ... Treatment #management #nephrology