Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults
Eclampsia = New-onset coma or convulsions in a woman with preeclampsia. Eclampsia is the development of new-onset seizures or coma in a woman with preeclampsia. These generalized, tonic-clonic seizures are one of the severe features of...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults
Definition: New onset of hypertension and proteinuria, [or new onset of hypertension and significant end-organ dysfunction with or without proteinuria] after 20 weeks of gestation. HTN in preeclampsia is defined as SBP ≥140 mmHg or DBP ≥90 mmHg on two occasions at...
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
The gold standard for diagnosis of PNES is Inpatient video-electroencephalography (vEEG) monitoring. Things that have been used but are unreliable: presence or absence of self-injury and incontinence, the ability to induce seizures by suggestion, psychologic tests,...
Clinic A/P, Peds, Hospital A/P, Peds
Treatment Nonpharmacologic: First do a trial of psychotherapy (CBT). Pharmacologic: Fluoxetine is 1st-line. Monitor the patient weekly for side effects for a month after starting fluoxetine. Counsel about FDA’s black box warning and other side effects....
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Get Urine Drug Screen. Illicit drug use is the most common medical cause of acute psychosis. Further Reading. Am Fam Physician. 2015 Jun 15;91(12):856-863. Recognition and Differential Diagnosis of Psychosis in Primary Care.
Clinic A/P, adults, Clinic A/P, Peds, Hospital A/P, Adults, Hospital A/P, Peds
Common presentation: a premenopausal woman with amenorrhea, headache, and vision changes (bitemporal hemianopsia). Diagnostic testing -MRI of the brain. Background “Pituitary adenomas are the most common disorder of the pituitary gland and are responsible for...
