45/M C/O GIDDINESS SINCE 2 HRS, SEIZURES SINCE EVENING (1EPISODE)
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UNIT 2 ADMISSION
Dr.VAMSHI KRISHNA (INTERN)
Dr.PRADEEP (INTERN)
Dr.JAYANTH (INTERN)
Dr.ISMAIL (INTERN)
Dr.YAMINI (INTERN)
Dr.AMULYA (INTERN)
Dr.PRADEEP (PG 1st YEAR)
Dr. NIKITHA (PG 2nd YEAR)
Dr.SUFIYA (PG 3rd YEAR)
Dr. SATHISH (PG 3rd YEAR)
FACULTY: Dr. VIJAYALAKSHMI
Case presentation:
UNIT 2 ADMISSION ON 16/2/2021
INTERNS:
ISMAIL
JAYANTH
VAMSHI
PRADEEP
AMULYA
YAMINI
ASHA KIRAN
DR.PRADEEP PG 1st year
DR.NIKITHA PG 2 nd year
DR.SUFIYA PG 3 rd year
DR.SATHISH PG 3 rd year
ASST. DR.VIJAYALAKSHMI
45 yrs male
c/o giddiness since 2 hrs
seizures since evening (1 episode)
at 4:30 pm pt was one of the pillion driver on bike, suddenly he had sensation of dizziness, following which he had loss of consciousness and about to fall, he was caught by his friend in the back. made him lie down.
no involuntary movements of upper limb and lower limb
tongue bite +
no involuntary micturation and defecation. he regained consciousness with in 10 min and became fully oriented after 30 min.
pt had similar episode 10 yrs back 2 episodes 1 month apart lost consciousness for 10 min became fully oriented with in 10 min. no seizure episode from these 10 yrs.
K/C/O HTN SINCE 2 YRS ON MEDICATION - TELMISARTAN 40 MG
K/C/O SEIZURES (1 EPISODE 10 YRS BACK USED MEDICATION FOR 2 YRS) and stopped.
N/K/C/O DM2/ASTHMA/CAD/CVA
chronic smoker 20 beedis /day(since 30 yrs)
chronic alcoholic 90 ml/day (since 10 yrs)ON EXAMINATION:
PT IS C/C/C
TEMP: AFEBRILE
BP:140/80 MM HG
PR:109 BPM
RR: 21CPM
SPO2 :94% @ ROOM AIR
GRBS:127 MG/DL
SYSTEMIC EXAMINATION:
CVS: S1,S2 + ,NO ADDED SOUNDS
R/S : BAE +
CNS: NO FOCAL DEFICIT
P/A : SOFT,NON TENDER
DIAGNOSIS:
K/C/O EPILEPSY WITH FOCAL SEIZURES WITH SECONDARY GENERALISED SEIZURES. K/C/O HTN , POLYCYTHEMIA
POLYCYTHEMIA
INVESTIGATIONS:
