11 results
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
(seizure, dizziness ... precipitating events ... Diagnosis #EM #Neuro #IM ... #Differential #Algorithm ... #Ddxof
Hematuria Workup and Diagnosis Algorithm
 • Confirm hematuria → Urinalysis >3 RBCs/HPF, exclude mimics, repeat testing
Hematuria Workup ... and Diagnosis Algorithm ... Nephrology if cause ... identified by UW IM ... #Workup #urology
Algorithm and Differential Diagnosis of Macroscopic Hematuria
Important Historical Elements:
- Painless: suggests malignancy
- Painful: suggests calculi/infection
- Urinalysis:
Algorithm and Differential ... RBC’s, RBC/WBC casts ... Diagnosis #EM #IM ... #Urology #Hematuria ... #Ddxof
Differential Diagnosis and Evaluation of Hyponatremia:
1) Identification of onset (acute vs. chronic)
2) Presence of symptoms (HA,
symptoms (HA, nausea ... , confusion, seizures ... Diagnosis #EM #IM ... #Differential #Algorithm ... #Ddxof
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... FIRST-LINE AGENTS ... Midazolam 10 mg IM ... #seizures #ACEP
Intracranial Hemorrhage (ICH) and Increased Intracranial Pressure (ICP) - Pathophysiology
ICH Management:
1. Manage Blood Pressure
  •
Avoid vasodilating agents ... sedation • During ... Manage ICP and Seizures ... = dilated BV = raises ... Pathophysiology #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus
1. ABCDEFG (ABC's and Don't Ever Forget the Glucose)
2. Airway:
Emergency Treatment Algorithm ... for reversible cause ... First-line agents ... Midazolam 10 mg IM ... #Management #Neurology
Management Algorithm for Status Epilepticus

• Assess airway, breathing, and circulation
• Pulse oximetry
• Electrocardiogram
• Finger stick (give
Management Algorithm ... Fosphenytoin 20 PE/kg IM ... StatusEpilepticus #Management #Algorithm ... #Neurology #pharmacology ... #dosing #seizure
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 • first seizure occurred
occurred during ... Remote Symptomatic Cause ... Remote Symptomatic Cause ... Initiation #start #Algorithm ... #Neurology #SHINE
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
full infectious work-up ... days → add fungal work-up ... Treat underlying cause ... consciousness, seizures ... differentiating agent