14 results
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Injuries by System: CNS ... ED arrival MSK ... dislocations (posterior ... compartment syndrome ... #Management #Emergency
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Traumatic brain injury ... Encephalitis, Brain Abscess ... #neurology
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
- Compatible syndrome ... PCR 50% sensitive ... Syphilis • Pyogenic Abscess ... #causes #radiology ... #neurology
Causes of Neuromuscular Weakness
 • Spinal Cord: Demyelinating Disease (MS), Epidural abscess, Infarction, Syringomyelia, Tetanus, Transverse
Demyelinating Disease (MS ... ), Epidural abscess ... Phrenic nerve injury ... #differential #diagnosis ... #neurology
Monteggia Fracture 
Fracture of proximal ulnar shaft with radial head dislocation. Remember “MUGR” to recall where
), compartment syndrome ... , ligamentous injury ... (LCL) • ED Management ... Radiology #XRay #Diagnosis ... #Proximal #MSK
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
result in permanent neurologic ... Spinal stenosis - Abscess ... the lesion Posterior ... #differential #diagnosis ... #neurology
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
(CES) is usually ... - Emergency Causes ... Spinal infection/abscess ... perineum, and posterior ... #causes #neurology
Posterior Knee Dislocation Injury
Specifically, POSTERIOR KNEE DISLOCATIONS can have significant associated injury that needs unique approach
: ~25% cases. ... Neurologic deficit ... Neurologic injuries ... drawers, and special ... #Injury #msk #clinical
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Then, ask 3 questions ... Assess volume status ... demyelination syndrome ... #Treatment #management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Antibiotics (Bactrim, PCN ... , rhabdo/crush injury ... tourniquet / IVF line draw ... only if no clear cause ... Bicarb<22) - avoid NS