First-time seizure - Revision history

Elcatracho: /* Work-up */

2021-01-18T04:19:06Z

Work-up

← Older revision		Revision as of 04:19, 18 January 2021
Line 39:		Line 39:
	*CBC		*CBC
	*Chemistry, Mg, CK		*Chemistry, Mg, CK
	*Lactic acid (may differentiate tonic-clonic from pseudoseizures and syncope)<ref>Ebru Apaydın Doğan, Ali Ünal, Aslıhan Ünal, Çağla Erdoğan, Clinical utility of serum lactate levels for differential diagnosis of generalized tonic–clonic seizures from psychogenic nonepileptic seizures and syncope, Epilepsy & Behavior, Volume 75, 2017, Pages 13-17, ISSN 1525-5050, https://doi.org/10.1016/j.yebeh.2017.07.003. (http://www.sciencedirect.com/science/article/pii/S1525505017304821)</ref>		*Lactic acid (may differentiate tonic-clonic from [[Psychogenic nonepileptic seizure\|pseudoseizures]] and [[syncope]])<ref>Ebru Apaydın Doğan, Ali Ünal, Aslıhan Ünal, Çağla Erdoğan, Clinical utility of serum lactate levels for differential diagnosis of generalized tonic–clonic seizures from psychogenic nonepileptic seizures and syncope, Epilepsy & Behavior, Volume 75, 2017, Pages 13-17, ISSN 1525-5050, https://doi.org/10.1016/j.yebeh.2017.07.003. (http://www.sciencedirect.com/science/article/pii/S1525505017304821)</ref>
	*Pregnancy test (female)		*Pregnancy test (female)
	*[[Urine toxicology screen]]		*[[Urine toxicology screen]]

Elcatracho: /* Evaluation */

2021-01-18T04:18:15Z

Evaluation

← Older revision		Revision as of 04:18, 18 January 2021
Line 39:		Line 39:
	*CBC		*CBC
	*Chemistry, Mg, CK		*Chemistry, Mg, CK
			*Lactic acid (may differentiate tonic-clonic from pseudoseizures and syncope)<ref>Ebru Apaydın Doğan, Ali Ünal, Aslıhan Ünal, Çağla Erdoğan, Clinical utility of serum lactate levels for differential diagnosis of generalized tonic–clonic seizures from psychogenic nonepileptic seizures and syncope, Epilepsy & Behavior, Volume 75, 2017, Pages 13-17, ISSN 1525-5050, https://doi.org/10.1016/j.yebeh.2017.07.003. (http://www.sciencedirect.com/science/article/pii/S1525505017304821)</ref>
	*Pregnancy test (female)		*Pregnancy test (female)
	*[[Urine toxicology screen]]		*[[Urine toxicology screen]]

Dcpinzonc at 01:57, 18 January 2021

2021-01-18T01:57:20Z

← Older revision		Revision as of 01:57, 18 January 2021
Line 38:		Line 38:
	*POC glucose		*POC glucose
	*CBC		*CBC
	*Chemistry		*Chemistry, Mg, CK
	*Pregnancy test (female)		*Pregnancy test (female)
	*[[Urine toxicology screen]]		*[[Urine toxicology screen]]

Elcatracho: /* External Links */

2021-01-13T17:55:43Z

External Links

← Older revision		Revision as of 17:55, 13 January 2021
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	==External Links==		==External Links==
	[https://www.acep.org/patient-care/clinical-policies/seizure/ ACEP Clinical ~~Policy Statement~~ Policy on Seizure]		[https://www.acep.org/patient-care/clinical-policies/seizure/ ACEP Clinical Policy on Seizure]

	==References==		==References==

Elcatracho: /* External Links */

2021-01-13T17:52:36Z

External Links

← Older revision		Revision as of 17:52, 13 January 2021
Line 66:		Line 66:

	==External Links==		==External Links==
			[https://www.acep.org/patient-care/clinical-policies/seizure/ ACEP Clinical Policy Statement Policy on Seizure]

	==References==		==References==

ClaireLewis at 22:51, 1 October 2019

2019-10-01T22:51:12Z

← Older revision		Revision as of 22:51, 1 October 2019
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	===Causes of first-time seizure===		===Causes of first-time seizure===
	*Idiopathic		*Idiopathic
	*Trauma (recent or remote)		*[[head trauma\|Trauma]] (recent or remote)
	*Intracranial hemorrhage (subdural, epidural, subarachnoid, intraparenchymal)		*[[ICH\|Intracranial hemorrhage]] ([[SDH\|subdural]], [[epidural hematoma\|epidural]], [[SAH\|subarachnoid]], intraparenchymal)
	*Structural CNS abnormalities		*Structural CNS abnormalities
	**Vascular lesion (aneurysm, AVM)		**Vascular lesion (aneurysm, [[AVM]])
	**Mass lesions (primary or metastatic neoplasms)		**[[Brain tumor\|Mass lesions]] (primary or metastatic neoplasms)
	**Degenerative neurologic diseases		**Degenerative neurologic diseases
	**Congenital brain abnormalities		**Congenital brain abnormalities
	*Infection (meningitis, encephalitis, abscess)		*Infection ([[meningitis]], [[encephalitis]], [[brain abscess\|abscess]])
	*Metabolic disturbances		*Metabolic disturbances
	**[[Hypoglycemia]] or [[hyperglycemia]]		**[[Hypoglycemia]] or [[hyperglycemia]]
Line 25:		Line 25:
	**[[Cocaine]], [[lidocaine]]		**[[Cocaine]], [[lidocaine]]
	**Antidepressants		**Antidepressants
	**Theophylline		**[[theophylline toxicity\|Theophylline]]
	**[[Alcohol withdrawal]]		**[[Alcohol withdrawal]]
	**Drug withdrawal		**Drug withdrawal
Line 42:		Line 42:
	*[[Urine toxicology screen]]		*[[Urine toxicology screen]]
	*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)		*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)
	*Consider EKG if cardiac origin not ruled out		*Consider [[EKG]] if cardiac origin not ruled out

	{{Head CT seizure}}		{{Head CT seizure}}

Rossdonaldson1: Text replacement - "Utox" to "Urine toxicology screen"

2018-10-21T00:42:34Z

Text replacement - "*Utox" to "*Urine toxicology screen"

← Older revision		Revision as of 00:42, 21 October 2018
Line 40:		Line 40:
	*Chemistry		*Chemistry
	*Pregnancy test (female)		*Pregnancy test (female)
	*~~Utox~~		*[[Urine toxicology screen]]
	*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)		*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)
	*Consider EKG if cardiac origin not ruled out		*Consider EKG if cardiac origin not ruled out

Kxl328: /* Work-up */

2017-03-11T14:52:36Z

Work-up

← Older revision		Revision as of 14:52, 11 March 2017
Line 42:		Line 42:
	*Utox		*Utox
	*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)		*Consider [[LP]] (if [[SAH]] or [[meningitis]]/[[encephalitis]] is suspected)
			*Consider EKG if cardiac origin not ruled out

	{{Head CT seizure}}		{{Head CT seizure}}

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-22T21:45:40Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 21:45, 22 July 2016
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	{{Seizure DDX}}		{{Seizure DDX}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-up===		===Work-up===
	*POC glucose		*POC glucose

Neil.m.young: Text replacement - "== " to "=="

2016-07-07T04:14:01Z

Text replacement - "== " to "=="

← Older revision		Revision as of 04:14, 7 July 2016
Line 5:		Line 5:

	==Differential Diagnosis==		==Differential Diagnosis==
	===Causes of first-time seizure===		===Causes of first-time seizure===
	*Idiopathic		*Idiopathic
	*Trauma (recent or remote)		*Trauma (recent or remote)

First-time seizure - Revision history

Elcatracho: /* Work-up */

Elcatracho: /* Evaluation */

Dcpinzonc at 01:57, 18 January 2021

Elcatracho: /* External Links */

Elcatracho: /* External Links */

ClaireLewis at 22:51, 1 October 2019

Rossdonaldson1: Text replacement - "*Utox" to "*Urine toxicology screen"

Kxl328: /* Work-up */

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

Neil.m.young: Text replacement - "== " to "=="

Rossdonaldson1: Text replacement - "Utox" to "Urine toxicology screen"