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Showing posts from December, 2021

75 years old male with gtcs

 75 YEARS OLD MALE CAME TO THE MEDICINE OPD WITH  C/C/O: INVOLUNTARY MOVEMENTS OF UPPER AND LOWER LIMBS (BOTH SIDES) ASSOCIATED WITH FROTHING AND POSTICTAL CONFUSION AFTER THE EPISODE  HOPI: The patient was apparently asymptomatic 1 year ago when he developed seizures which was not associated with aura,tongue biting, involuntary micturition , defecation,.          H/O similar complaints in the past  (Not on any medication).  NO C/O chest pain, palpitations, shortness of breath, pedal edema, orthopnea, PND. Not a k/c/o DM,HTN, ASTHMA,THYROID, TB. PAST HISTORY: Similar episode (GTCS) , associated with uprolling of eyes and frothing, happened one yr back, during sleep in the night , lasted for 2-3 min, followed by 5minutes postictal confusion , and later on he doesn't remember whatever happened. They took to near by hospital , gave undocumented medication. No any imaging was done . Got relieved. After 6months ,  same episode was repeated. They Came to our MEDICINE OP, advised few test