As with most complaints in Emergency Medicine, headaches are usually benign and self-limited conditions. Occasionally, however, the etiology can be potentially devastating, particularly in post-partum patients...
Your patient is seizing, your benzo didn't work, what's next?
Knowing your action plan for a patient in status epilepticus is crucial. Preparation = success! Review this chart until you've got a 1st, 2nd & 3rd line medication, with doses, always ready in your mind. If you've got this down already, how about for pediatrics?
Myasthenia Gravis
A 58 y/o female was brought into the ED by EMS after being found down at home.....
A 26 year old male presents to your Emergency Department with bilateral lower extremity weakness. He states he recently had a “stomach bug” following a camping trip. You suspect Guillain-Barre Syndrome. Which of the following is most consistent with GBS?
A) CSF with elevated protein
B) Hyperreflexia
C) Facial droop
D) Sterile pyuria
E) Vesicular rash
Which anti-epileptic is most likely to cause hyponatremia?
A. Carbamazepine
B. Dilantin
C. Valproic Acid
D. Lacosamide
E. Levetiracetam
Answer is A - Carbamazepine or Tegretol
Bonus Question: What is the first line management in Trigeminal Neuralgia?
Answer: Carbamazepine or Tegretol
Dr. Anil Reddy discusses status epilepticus in the Emergency Department.
While the scuba diving decompression illnesses of decompression sickness and arterial gas embolism are treated the same, the pathophysiology and presentation are different.
