50/M with seizures under evaluation
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Interns:
Dr Archana
Dr Jeeharika
Dr Sreeja
Dr Harsha
Dr Kalyan
Dr Raveen PGY1
Dr Aashitha PGY2
Dr Aravind PGY3
Dr Vamshi PGY3
Dr Hareen SR
Dr Praveen Naik Ass Prof
DR. RAKESH BISWAS HOD
Here is a case i have seen:
Admission under unit 3 on 04/03/2021
50/F was brought to casualty with c/o:
Seizures (? GTCS) 3-4 episodes, starting around 6:00pm
HOPI:
Patient was apparently asymptomatic till yesterday evening, she had seizures (?GTCS) 3-4 episodes, yesterday evening.
Each episode of seizure lasting for 1-2mins with
Post ictal confusion lasting for 30-40mins.
Uprolling of eye balls +
Frothing from mouth+
Urinary incontinence +
Tongue bite -
Past history:
No h/o DM /HTN /TB /Asthma /Epilepsy /thyroid abnormalities /CAD
Personal history :
Diet - mixed
Appetite - normal
Sleep - adequate
Bowel and bladder movements - regular
Takes toddy occasionally
Not a smoker
Family history :
No significant family history
Drug and allergic history :
No known drug and allergic history
On examination :
Patient is drowsy
Moderately build and nourished
She has nodular lesions all over the body.
No pallor/icterus/cyanosis/clubbing/generalised lymphadenopathy/ pedal Edema
Vitals :
BP: 110/80mmhg
PR: 98bpm
RR: 18cpm
SPO2: 99% at RA
Afebrile to touch
GRBS : 195mg/dl
Systemic examination:
CVS: s1,s2 heard, no murmurs
RS: BAE present, crepts + in Right IMA and right IAA
P/A: soft, non - tender
CNS:
SEROLOGY - Negative
Hb- 10.9 g%
MRI :
DIAGNOSIS :
Seizure under evaluation
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