Discontinue the phenytoin
Add phenobarbital to the phenytoin
Begin bupropion (Wellbutrin)
Begin lamotrigine (Lamictal)
D. Begin lamotrigine (Lamictal)
A positive homozygous genotype for apolipoprotein E4
Elevated serum aluminum
Elevated serum alpha-tocopherol
Decreased serum Beta-carotene
Tonic-clonic seizure
Absence seizure
Atonic seizure
Status epilepticus
Parkinsonism
Deteriorating course
Evidence of cerebrovascular disease
Focal neurologic signs
Hydroxyzine
Fluoxetine
Triazolam
Clonidine
Cholinesterase inhibition
Cholinesterase activation
Catecholamine inhibition
Catecholamine activation
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
Diabetes mellitus
Lupus
Multiple sclerosis
ALS
Migraine headache
Premenstrual headache
Tension headache
Cluster headache
Zero
25%
50%
75%
Clopidogrel (Plavix)
High-dose corticosteroids
NSAIDs
Dipyridamole/aspirin (Aggrenox)
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
Oculomotor
Sympathetic
Trochlear
Trigeminal
Weight gain
Rash
Nausea and headache
Tardive dyskinesia
Head CT without contrast
Head CT with contrast
Head MRI
Lumbar puncture
Yellow-orange cerebrospinal fluid supernatant
A WBC:RBC ratio of 1/1000
A protein (g/L) to RBC (count/L) of 1/1000
A glucose level below 2.2 mmol/L
Phenytoin (Dilantin)
Fosphenytoin (Cerebyx)
Naloxone
Lorazepam (Ativan)
Isoniazid
Diazepam
Primidone
Clonidine
Carotid Doppler ultrasonography
An erythrocyte sedimentation rate
A cardiac stress test
A TSH level
Famiciclovir (Famvir)
Prednisone
Capsaicin (Zostrix)
Carbamazepine (Tegretol)
11
10
9
8
Tumour induced exophthalmos
Fourth cranial nerve palsy
Apical pulmonary carcinoma
Enlarged thyroid gland
Tumour induced exophthalmos
Fourth cranial nerve palsy
Apical pulmonary carcinoma
Enlarged thyroid gland
Educational attainment
Socioeconomic status
Gender
Race
Confusion
Sweating
His temperature
His heart rate
Alcohol withdrawal
Stroke
Head trauma
Hypoglycemia
Diphenhydramine (Benadryl)
Atorvastatin (Lipitor)
Metformin (Glucophage)
Memantine (Namenda)
Schizophrenia
Schizophreniform psychosis
Hysterical personality disorder
Temporal lobe lesion
Language
Orientation
Registration
Visual-motor integrity
Rheumatoid Arthritis
Temporal Arteritis
Polymyositis
Sarcoidosis
A variant form of Down syndrome
Aspergers syndrome
Klinefelters syndrome
Fragile X syndrome