41 results
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
caused by a toxic ... or metabolic disorder ... Toxic and metabolic ... causes include ... Classification #Diagnosis #Neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
In short, best outcomes ... rely upon rapid seizure ... epilepticus which may cause ... epilepticus may cause ... #Management #Neurology
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
Causes of Seizures ... Neurocysticercosis, PML • Metabolic ... Eclampsia, Prophyria #Seizures ... Diagnosis #Algorithm #Causes ... #neurology
Causes of Secondary / Provoked Seizures - Differential Diagnosis Algorithm
Febrile
Infection
 • Sepsis
 • Encephalitis
 • Meningitis
Metabolic
Causes of Secondary ... / Provoked Seizures ... • Meningitis Metabolic ... #Neurology #Differential ... Diagnosis #Algorithm #Causes
High Anion Gap Metabolic Acidosis (HAGMA) - Differential Diagnosis - GOLDMARK

Glycols - ethylene and propylene glycol
Oxoproline
High Anion Gap Metabolic ... during hypoxic metabolism ... associated with short ... salicylate toxicity causes ... GOLDMARK #mnemonic #nephrology
Primary Metabolic Alkalosis - Differential Diagnosis Algorithm
Volume Depleted - 2° hyperaldosteronism
 • Low Urine Cl-: Vomiting,
Primary Metabolic ... hyperaldosteronism • Low Urine ... (late) • High Urine ... Diagnosis #Algorithm #Nephrology ... #Causes
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
LiCl use The urine ... Urine chloride is ... the indicated causes ... settings, the urine ... #Algorithm #nephrology
Distal Renal Tubular Acidosis (RTA)  Type 1 

Totally scuppers the kidney's acidification mechanism. Will be
diagnosis with direct urine ... Failure to acidify urine ... Distal #Diagnosis #Management ... #Nephrology #Causes
Salicylate Toxicity - Diagnosis and Management

Consider if:
1) Patient is hot and altered
2) You see tachypnea with
no respiratory cause ... show anion-gap metabolic ... Dizziness, Altered, Seizure ... Labs: Anion-Gap Metabolic ... Resuscitation 2) Urine
Hypokalemia Evaluation Algorithm

Before evaluating hypokalemia, life threatening complications such as arrhythmias and paralysis should be looked
wasting from other causes ... A urine K/Cr ratio ... suggests extra-renal causes ... • Diarrhea A urine ... differential #potassium #nephrology