0521779407-19 CUNY1086/Karliner 0 521 77940 7 June 6, 2007 17:50
1376 Stasis Dermatitis Status Epilepticusmanagement
What to Do First
■Eliminate swelling/edema and irritants, treat involved skin
specific therapy
■Support Hose 30–40 mmHg pressure, leg elevation
■Level 4 or 5 topical corticosteroids and moisturizers
■If severe short course corticosteroids, side effects and contraindica-
tions per atopic dermatitis
■Avoid development of contact allergy to topical antibiotics
follow-up
n/a
complications and prognosis
Chronic course if swelling not eliminated. If swelling is eliminated, then
resolution may occur. Residual hyperpigmentation may still be present
after dermatitis has resolved.STATUS EPILEPTICUS
MICHAEL J. AMINOFF, MD, DSc
history & physical
■Recurrent convulsions w/o recovery of consciousness btwn attacks
or a fixed epileptic state continuing for 20 minutes or more; non-
convulsive status may present simply as a fluctuating alteration in
mental status
■Continuing seizures: precise findings depend on seizure type
■May be findings of underlying neurologic deficittests
■Blood should be obtained at initiation of treatment, but mgt should
start immediately; do not wait for test results
■Lab studies: CBC, differential, LFTs, BUN & electrolytes, FBS, ESR,
blood levels of anticonvulsants (if being taken prior to status epilep-
ticus), toxicology screen, CSF exam
■Cranial CT scan or MRI
■CXR
differential diagnosis
■Status epilepticus is a syndrome of many causes, not a specific diag-
nosis