54 results
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework

Hematologic & Vascular:
 • Multiple myeloma & Acute leukemia (plasma cells
unmasked by: - Seizure ... Drugs: • Valproic ... Hyperammonemia #ammonia
Schematic representation of the major sources of ammonia production and its excretory pathway (GI = gastrointestinal,
major sources of ammonia ... production of ammonia ... elimination of ammonia ... Medications - Valproic ... production) of ammonia
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
Generalized Seizures ... Pseudoseizures Generalized seizures ... Generalized seizures ... either a partial seizure ... Diagnosis #Neurology #Signs
AEIOU TIPS - Mnemonic for Causes of Altered Mental Status
A - Alcohol, Acidosis, Ammonia, Arrhythmia
E -
Alcohol, Acidosis, Ammonia ... Poisoning S - Stroke, Seizure
Status Epilepticus 
Continuous seizure activity > 5-10 min OR >= 2 seizures without full recovery
First line
Epilepticus Continuous seizure ... 10 min OR >= 2 seizures ... 150 mg/min) • Valproic
An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a
Management of Seizures ... management of active seizures ... continuous vital sign ... twitter.com/thame #Seizure
Checklist for Evaluation of New-Onset Delirium in the ICU

Initial assessment 
 - 
Vital signs, neuro exam
assessment - Vital signs ... TSH - LFTs, ammonia ... - History of seizure
Pathyophysiology - hyperglycemic crises in patients with diabetes 
Key signs/symptoms of HHS/DKA:
Both: Polyuria, polydipsia, weight loss,
diabetes Key signs ... lethargy, coma, seizure
Hypomagnesemia (Serum level < 1.7 mg/dL)
Neuromuscular manifestations 
 • Tremor, tetany, seizures 
 • Weakness
Tremor, tetany, seizures ... Hypomagnesemia #Signs
Alcohol Withdrawal Timeline
Minor withdrawal (6 to 36 hours) - Tremulousness, mild anxiety, headache, diaphoresis, palpitations, gastrointestinal
mental status • Seizures ... generalized tonic-clonic seizures ... and normal vital signs