T12
L1
L2
L4 - L5
E.
Repeat CT scan and EEG
Add another agent (eg. Phenytoin)
Re-check carbamazepine level in 2 weeks
Check CBC, CMP and TSH/FT4
Mood
Behavior
Intelligence quotient
Cognitive function
Weight gain
Rash
Nausea and headache
Tardive dyskinesia
Diabetes mellitus
Lupus
Multiple sclerosis
ALS
Only their male children are at risk
If one child develops the disease, siblings are not at risk
All their children will inherit the disease
Each child has 50% risk of inheriting the disease
Alzheimers disease
Dementia resulting from depression
Lewy body dementia
Multi-infarct dementia
Carotid blood flow
Cremasteric reflexes
Elevated serum aminoglycoside concentrations
Hypothermia
Parkinsonism
Deteriorating course
Evidence of cerebrovascular disease
Focal neurologic signs
Severe anemia
Hepatic encephalopathy
Subarachnoid hemorrhage
Vitamin B12 deficiency
Carotid ultrasonography
High-resolution CT
MRI with gadolinium enhancement
Prednisone and valacyclovir (Valtrex)
Petit mal seizure
Grand mal seizure
Myoclonic seizure
Atonic seizure
Confusion
Sweating
His temperature
His heart rate
Monocular visual loss
Internuclear ophthalmoplegia
Headache
Apraxia of gait
Head CT without contrast
Head CT with contrast
Head MRI
Lumbar puncture
Guillain-Barr� syndrome
Multiple Sclerosis
Myasthenia Gravis
Systemic Lupus Erythematosus
Alprazolam (Xanax)
Clonazepam (Klonopin)
Carbamazepine (Tegretol)
Propranolol (Inderal)
Post-event confusion
Eye closure during the event
A history of fibromyalgia
A history of chronic back pain
Phenytoin
Valproic acid
Tiagabine
Phenobarbital
Right-sided hemi-paresis
Right-sided loss of proprioception
Left-sided decreased sensitivity to pinprick
Left-sided decreased vibration sense
Hypothermia
Continuous mechanical ventilation
The absence of spontaneous body movements
Electroencephalographic confirmation
Tonic-clonic seizure
Absence seizure
Atonic seizure
Status epilepticus
T12
L1
L2
L4 - L5
It is too late to initiate cholinesterase therapy
Agitation is often intensified by these agents
Memory is likely to improve significantly
Nursing-home placement may be delayed a year or longer
Trisomy 18
Head trauma
Advanced age
Obesity and hypertension
Zero
25%
50%
75%
Increase the dose of the NSAID
Order determination of erythrocyte sedimentation rate
Order determination of serum rheumatoid factor
Order x-ray films of the cervical spine
Atrial fibrillation
Cigarette smoking
Excessive alcohol use
Hypertension
Diphenhydramine (Benadryl)
Atorvastatin (Lipitor)
Metformin (Glucophage)
Memantine (Namenda)
Isoniazid
Diazepam
Primidone
Clonidine
Discontinue the phenytoin
Add phenobarbital to the phenytoin
Begin bupropion (Wellbutrin)
Begin lamotrigine (Lamictal)