KAVYASREE KALUVALA(04 OLD BATCH) JULY 04,2021


A 40 year old male patient with complaints of seizures.



JULY 04,2021.


I am K.Kavya sree and this is a case that I have come across in the discussion group, described below:-

A 40 year old male patient came to casualty with chief complaints of five episodes of seizures - focal (right side) with secondary generalisation associated with loc involuntary micturition since today morning for which he was taken to a local hospital and got treated symptomatically. From there he was referred to one hospital for further treatment. Pt was brought to casuality in a state of altered sensorium . GCS : E3V4 M5.
H/o generalized weakness & body pains since one day.
No history of fever/vomiting/headache/weakness of of UL/LL/deviation of mouth.
No other complaints.

Past history:
Not a k/c/o DM/HTN/Asthma/Epilepsy/CAD/TB

Personal History : 
Daily wage labourer
Consumes alcohol 180 ml/ day since 20 years. Cigeratte smoking  15 / day since 20 years .

General examination : No pallor /icterus /cyanosis / clubbing /lymphadenopathy /pedal edema.
Temp: 100 F
Pulse rate 96 /min.
Bp 90/50
Spo2 at room air 99 %
GRBS 131 mg% 

Systemic examination : 
CVS: s1 s2 heard , no murmurs
Respiratory system : BAE+ , normal vesicular breath sounds heard.
Abdomen : soft , BS+
Central Nervous System : Drowsy but arousable.
Neck stiffness +
Kernig's +
Brudzinski -
Glasgow scale : E3V4M5 
Reflexes: DTR: Exaggerated
plantars : Unelicitable

Provisional diagnosis : focal seizures with secondary generalisation
Altered sensorium under evaluation.
?Meningo encephalitis
?Septic encephalopathy

This is a chest x ray of the patient.


                                              
This is an ECG of the patient.
 Lumbar puncture was also done on the patient.

Csf was also analysed. Appearance is clear.



The total cell count is 3 and differential count is 100% lymphocytes.

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