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diagnosis differential management encephalopathy epilepticus nephrology pres treatment hyponatremia pediatrics acep alkalosis alte brue chloride convulsive event lifethreatening metabolic seizure
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis Clinical Features: • Altered mental status (Either lethargy, confusion, or
Posterior Reversible ... Altered mental status ... agitation) • Seizures ... Immunomodulatory meds ... #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) - Treatment Blood pressure control: • Aim for 10-25% BP reduction within
Posterior Reversible ... Encephalopathy Syndrome ... are preferred Seizure ... #Syndrome #Treatment ... #Management #Neurology
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Posterior Reversible ... may precede the neurologic ... the underlying cause ... : Treat with AEDs ... until cause identified
Causes of Seizures - Differential Diagnosis Algorithm Unprovoked - Epilepsy: • Focal: Simple, Complex • Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Aneurysm, Vasculitis, Reversible ... vasoconstriction syndrome ... #Causes #neurology
Hyponatremia - Differential Diagnosis Algorithm Hypovolemic - Give volume Hypervolemic (Edematous) - Look for and treat underlying cause
treat underlying cause ... cirrhosis, nephrotic syndrome ... , CNS Disease, Meds ... #diagnosis #nephrology ... #sodium
Emergency Treatment Algorithm for Convulsive Status Epilepticus 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... Concurrently search for reversible ... cause FIRST-LINE ... Convulsive #management #neurology ... #seizures #ACEP
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 ... Meningitis WITHDRAWAL SYNDROMES ... hemorrhage Neoplasm Posterior ... #Epilepticus #Seizures ... #neurology
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Causes of Apparent ... Metabolism • Reye's Syndrome ... Disturbances Neurologic ... : • Seizure ... #Causes #Peds #
Hyponatremia - Diagnosis and Treatment Hyponatremia is usually caused by the inability to excrete water normally.
attention to volume status ... Assess volume status ... demyelination syndrome ... of symptomatic (seizures ... #sodium
Management of Convulsive Status Epilepticus in children Stabilization Phase (Seizure 0-5 minutes): • Check and maintain ABC
of Convulsive Status ... IV Thiopental Sodium ... #Management #neurology ... #pediatrics #peds ... #algorithm
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