18 yr old female, resident of narketpally, complains of 3 episodes of seizures since yesterday night Pt was apparently asymptomatic till last night, at 12 am, in her sleep, she had an episode of gtcs with tongue bite, dribbling of saliva, post ictal confusion and uprolling of eyeballs and gained consiousness after 10min Similar episodes took place at 4am and 11.30am No involuntary micturation or defecation C/o headache in frontal region, non radiating C/o nausea since morning No fever, cough, cold, chest pain, orthopnea, pnd, burning micturation, loose stools, vomitings K/c/o seizures since 1yr, used medication for 1 month, and stopped after that No palor, icterus, cyanosis, clubbing, lymphadenopathy, edema Vitals: Pr 108 bpm Bp 110/70 mmhg Rr 14 cpm Spo2 99% Grbs 92 mg/dl Cvs: s1,s2 normal Rs: BAE present P/A: soft, non tender CNS: Pt is conscious, Speech is normal No meningeal signs Normal cranial nerve examination, motor system, sensory system Gcs: E4,V5,M6 Re...
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