20 year old female with involuntary movements of both upper and lower limbs. ?GCTS

 Unit 5 : case admissionon date :5/2/2021

Dr. Natasha mam( Pg Y3) 

Dr. Zain alam Pg Y2) 

Dr. Sashi kala ( Pg Y1)

Dr. Shailesh Patil( Pg Y1) 

Sridevi ( Intern) 

Anjali Vishwas (intern)

Shriya reddy(intern)

Mourya(intern)

A 21 year old female, presented to

casualty with            involuntary movement s of both upper and lower limbs since 5  pm today, 5 episodes, each episode lasting for 2- 3 minutes, GTCS pattern, associated with uprolling of eyes present, not associated with tongue bite,    involuntary micturition, defecation, post ictal  confusion, drowsiness, confusion

C/0 headache, since yesterday, which is sudden in onset, gradually progressive, throbbing type of pain, not associated with nausea, vomitings, diminished vision.

No c/0 fever, shortness of breath, palpitations,          giddiness, chest pain, pedal edema, burning micturition


Not a known complainpast history of HTN, DM,  Epilepsy,asthma, Thyroid abnormalities, cVs and cns  abnormalities

No similar complaints in the past

Vitals at the time of presentation:


BP: 140/80 MM HG

PR: 115 bpm



RR: 22 cpm

Temp: Afebrile

Spo2: 100 percent RA

On examination:

CNS examination:

Patient is drowsy but arousable, speech is normal, no signs of meningeal irritation, cranial nerves examination intact, sensory,motor system is normal, reflexes normal, no cerebellar signs

CVS examination: S1 S2 heard

Per abdomen:NAD

Respiratory system:Bae+, NvBS

Diagnosis: GTCS? Seizures under evaluation

Rx:

Inj. Levipil 500 mg IV/BD

Inj. Optineuron 1 amp in 100 ml NS/IV/OD

Inj. Pantop 40 mg IV/OD

Bp, PR, SPO2 monitoring 6 th hourly

Temp monitoring 4 th hourly.

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  This  is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent.  Here we discuss our individual patient's problems through series of inputs from available global online community of experts without th an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centered online learning portfolio and your valuable inputs on the comment box is welcome.       Unit 5 : Case admission date :05/02/2021 Dr. Natasha mam( PG Y3)  Dr. Zain Alam( PG Y2)  Dr. Sashi kala ( PG Y1)  Dr. Shailesh Patil( PG Y1)  Sridevi ( Intern)  Anjali Vishwas (Intern) Shriya Reddy (Intern) Mourya (Intern) A 21 year old female, presented to casualty with involuntary movement s of both upper and lower limbs since 5  pm today, 5 episodes, each episode lasting for 2- 3 minutes, GTCS pattern, associated with uprolling of eyes present, not ass
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