Neurology Review Questions (Part 1) - CRASH! Medical Review Series 

Vladislav Zaichenko i thought about adjusment disorder also but he didnt specify the how long after his death .. But the main issue is whenever you have a clear 5 or more in SIGECAPS then the diagnosis is major depression

How was it?

xDomglmao I got my highest score that semester 😍🙏🏼 so grateful

@@queen90 Awww, glad to hear that!

xDomglmao thanks 🙏🏼 can we be RU-vid friends?

@@queen90 haha, go ahead, add me

Yeah, so there’s actually a variety of definitions, and it really depends on who you ask. The Epilepsy Foundation defines it as > 5 minutes, while the International League Against Epilepsy (ILAE) defines it as > 30 minutes. Obviously there’s a big difference here and clinically we would regard the severity of a 5 minute episode quite differently from that of a 35 minute episode in terms of potential morbidity. I took the liberty of settling on something in between. Ultimately, however you define status epilepticus, it doesn’t change your management. You will want to initiate benzodiazepines at 5 minutes, according to most sources, and then administer a second dosage or an alternative agent after 5-15 minutes or so. I used an algorithm that I received when I was in medical school from one of the neurologists that taught us, and it closely resembles what I found in the Kaplan Test Prep material. But there are different approaches in the literature.

There is disagreement about this. I've heard 30, and 15, and 10. I've also heard 5. But the reasoning for "5" was that if the seizure hadn't stopped after 5 minutes, you needed to behave like it was going to continue longer. Get your IV (if you don't have one) and order your meds, because it's going to take a few minutes to get them. If you wait until minute 10, it'll be several minutes beyond that before you're delivering the meds. So the argument for 5 minutes wasn't that it *is* status, but that it's heading that way. You see? But like so much advice, we begin to lose sight of why a recommendation was given and soon the definition will be 5 minutes. Then someone will say, "But you really need to recognize it a little earlier than 5 minutes so you can be ready to give meds"... and then... ;)

Status epilepticus is seizure lasting more than 30 mins, more than 5 mins means impending status epilepticus, so we start treatment if seizure lasts for more than 5 mins