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 an ECG of the patient.
Csf was also analysed. Appearance is clear.
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