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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The rationale for aggressive treatment of generalized status epilepticus was described previously here.  In short,
rely upon rapid seizure ... which may cause ... may cause aspiration ... Management #Neurology #CriticalCare ... #Algorithm #PulmCrit
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 β€’ Focal: Simple, Complex
 β€’ Generalized: Absence,
Causes of Seizures ... Differential Diagnosis Algorithm ... Toxic: Alcohol, Medication ... , Recreational drugs ... #Causes #neurology
Emergency Treatment Algorithm for Convulsive Status Epilepticus 
 1. ABCDEFG (ABC's and Don't Ever Forget the
Emergency Treatment Algorithm ... for reversible cause ... is available or seizure ... succinylcholine REFRACTORY MEDICATION ... #ACEP
Lymphadenopathy - Differential Diagnosis Algorithm
Localized: 
 β€’ Cervical: EBV, CMV, HIV, Toxo, TB, Lymphoma, Head /
Differential Diagnosis Algorithm ... Sarcoidosis β€’ Medications ... Beta-Blockers, Anti-epileptic ... drugs (AEDs) # ... #Causes
Management of Convulsive Status Epilepticus in children
Stabilization Phase (Seizure 0-5 minutes):
 β€’ Check and maintain ABC
Convulsive Status Epilepticus ... Antiepileptic Drug ... Early Status Epilepticus ... Alternative medications ... pediatrics #peds #algorithm
Do you start Anti-Epileptic Drugs (AEDs) on a first time seizure?

SHINE Mnemonic:
 β€’ first seizure occurred
you start Anti-Epileptic ... Drugs (AEDs) on ... Remote Symptomatic Cause ... Antiepileptics #Drugs ... Initiation #start #Algorithm
ACEI or ARB Initiation
Hyperkalemia:
 - Review concurrent drugs
 - Moderate potassium Intake
 - Consider: diuretics, sodium
ACEI or ARB Initiation ... Review concurrent drugs ... - Review for causes ... Reassess concomitant medications ... Initiation #monitoring #algorithm
Medications Contributing to Dysgeusia

Antimicrobial medicines	Macrolides, fluoroquinolones, ampicillin, metronidazole, tetracycline, trimethoprim-sulfamethoxazole, amphotericin B, terbinafine and other antimycotic
other antimycotic drugs ... Angiotensin-converting enzyme (ACE ... ritonavir Anti-epileptic ... Dysgeusia #Induced #Drugs ... #Causes #Differential