Changes

==Seizure==

==Seizure==

*H&P: Aura, symmetrical rhythmic convulsions, eyes deviate towards contralateral side, lateral tongue lacerations, bowel/bladder incontinence, post-ictal state, post-seizure myalgias, can have transient weakness that mimics stroke (Todd paralysis)

*H&P: Aura, symmetrical rhythmic convulsions, eyes deviate towards contralateral side, lateral tongue lacerations, bowel/bladder incontinence, post-ictal state, post-seizure myalgias, can have transient weakness that mimics stroke (Todd paralysis)

*Dx: EEG. Differentiate between focal (simple and complex) and generalized (grand mal, petit mal, myoclonic, atonic). Differential includes metabolic (hepatic encephalopathy, hyponatremia, hypomagnesemia, hypercalcemia, hypoglycemia), infectious (meningitis), intoxication (or drug withdrawal), neoplastic (brain tumor), vascular (aneurysm, stroke, hemorrhage, dissection)

*Dx: EEG. Differentiate between focal (simple and complex) and generalized (grand mal, petit mal, myoclonic, atonic). Differential includes metabolic (hepatic encephalopathy, hyponatremia, hypomagnesemia, hypercalcemia, hypoglycemia), infectious (meningitis), intoxication (or drug withdrawal), neoplastic (brain tumor), vascular (aneurysm, stroke, hemorrhage, dissection). Get CBC, BMP, LFTs, urine tox screen, AED levels, consider MRI

*Tx: [[AEDs]] (no first line agent, decide on a case-by-case basis). For [[status epilepticus]], ABCs, give IV lorazepam, fosphenytoin if seizure persists, consider induced coma if all else fails.  

*Tx: [[AEDs]] (no first line agent, decide on a case-by-case basis). For [[status epilepticus]], ABCs, give IV lorazepam, fosphenytoin if seizure persists, consider induced coma if all else fails.

 

==Brain Death==

==Brain Death==

*Dx:

*Dx: