The presence of intracranial lesions predispose patients to risk of seizures, although the role of seizure prophylaxis is not established for all conditions. Patients with traumatic head injury should be treated with dilantin for 1 week, as prophylaxis is effective for early but not for late post-traumatic seizure disorders. Patients undergoing aneurysm surgery should be maintained on dilantin during the perioperative period. For acute seizures, intravenous lorazepam 0.1 mg/kg or midazolam 0.1-0.15 mg/kg is generally effective. Propofol and thiopental are also effective agents, but their use would generally necessitate tracheal intubation. Phenobarbital or thiopental can be used to control status epilepticus, and dosage should be guided by electroencephalography monitoring as well as by serum levels.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.