First Seizure: Step-by-Step Approach (Flowchart)
The USMLE Adviser First Seizure flowchart turns this presentation into a short series of yes/no decisions, the way Step 2 CK and Step 3 vignettes test it. Here is how it begins.
How the flowchart starts
The flowchart begins with any fever or meningismus? If yes, think meningitis / encephalitis. If no, it asks about a focal deficit (stroke / hemorrhage / brain tumor), then about trauma, before moving to the remaining causes.

FAQs
How does the first seizure flowchart start?
The flowchart begins with any fever or meningismus? If yes, think meningitis / encephalitis. If no, it asks about a focal deficit (stroke / hemorrhage / brain tumor), then about trauma, before moving to the remaining causes.
Where can I see the full first seizure flowchart?
The complete flowchart is page 52 of the USMLE Adviser e-book, Clinical Algorithms: Volumes 1 & 2, which has 232 flowcharts across 19 specialties.
Related flowcharts
Get the full flowchart
The USMLE Adviser e-book has 232 one-page clinical flowcharts across 19 specialties for Step 2 CK, Step 3 and the Match. Instant digital download.
From Clinical Algorithms: Volumes 1 & 2 by Dr. Adnan Memon, MD (page 52). Reviewed by the USMLE Adviser Team. For exam preparation only, not medical advice.
USMLE Adviser