Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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9 results
Status Epilepticus - Management
Seizure > 5 mins or two seizures without complete recovery between them
PEDS
Benzo Dose
- Management Seizure ... 5 mins or two seizures ... #Epilepticus #seizures ... #algorithm #peds ... #pediatrics #neurology
The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
for aggressive treatment ... rely upon rapid seizure ... The longer the seizure ... Epilepticus #Refractory #Seizures ... #Algorithm #PulmCrit
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... vasoconstriction syndrome ... Hypomagnesemia, Hypocalcemia ... Eclampsia, Prophyria #Seizures ... #Causes #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment ... 02, suction 3. ... for reversible cause ... is available or seizure ... #seizures #ACEP
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Stabilization Phase (Seizure ... (Seizure 5-30 ... Epilepticus (Seizure ... If seizure continues ... #pediatrics #peds
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia is usually caused ... Assess volume status ... demyelination syndrome ... of symptomatic (seizures ... #management #nephrology
Recurrent Polymorphic VT/Torsades de Pointes - Management Algorithm
Drugs that prolong QT interval:
 β€’ Class 1a (quinidine,
flecainide) β€’ Class 3 ... Congenital long QT Syndrome ... β€’ Hypocalcemia ... (rarely) Treatment ... 1b (lidocaine)- case
Rhabdomyolysis - Differential Diagnosis Framework
Rhabdomyolysis = Destruction of skeletal muscle with leakage of contents into circulation.
Strenuous exercise, Seizures ... Neuroleptic malignant syndrome ... Electrolytes: Hypokalemia ... Lipid-lowering drugs (statins ... #nephrology #table
MGH Status Epilepticus Treatment Protocol
1st line (seizures ongoing for 5-10 mins): 
 - Lorazepam 4mg IV
Treatment Protocol ... 1st line (seizures ... -30 mins) - If seizures ... 100mg/min) 3) ... #Protocol #algorithm