SeizuresJuly 20, 2023
Saturday, July 8, 2023
43 YEAR OLD MALE WITH SEIZURES
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Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.This E-log also reflects my patient-centered online learning portfolio and your valuable inputs in the comment box are welcome.
I've been given this case to solve in an attempt to understand the topic of "Patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, Clinical findings, investigations and come up with a diagnosis and treatment plan
43 YEAR OLD MALE WITH SEIZURES
A 43 year old male was brought to the casualty with comlains of involuntary movements of body since today morning.
HISTORY OF PRESENTING ILLNESS:
The Patient was apparently asymptomatic 4 days back when he had a binge of alcohol . he lost consciousness at his workplace and was taken to the hospital. At the hospital, the correction fluids were given and the patient was sent home. Today morning he had 2 episodes of involuntary movement of body (tonic movements with stiffening of body) lasting 1-2 minutes and relieved on itself.
His wife checked his grbs at home after this episode and it was found to be 60mg/dl after which he was rushed to the hospital. In the hospital the correction was done inspite of which involuntary movements continued. He was then brought to our hospital.
No uprolling of eyes or loss of consciousness during the episodes.
No c/o vomitings, headache, frothing from mouth, deviation of mouth, tongue bite, post ictal confusion, involuntary micturition/defecation.
PAST HISTORY:
No similar complains in the past.
K/C/O DM-II since 5 years on insulin. He was diagnosed with DM-II Incidently during an episode of fever for which he was initially prescribed OHA'S. The patient used to skip taking his medication. Due non compliance and very high sugars he was then shifted to insulin.
N/k/c/o HTN, CVA, CAD, Bronchial asthma, thyroid disorders.
DAILY ROUTINE :
The patient works as an attender in a college.
He lives with his wife and three children.
He doesn't always follow his routine and go to the college.
He gets up in the morning and freshens up and has breakfast. After his family leaves for work/college, he either goes to college or goes out with his friends and drinks alcohol.
He often skips meals as he forgets about them while he is drinking alcohol. He often consumes food late at night when he is very hungry.
The alcohol consumption has increased in the last 1 year.
On enquiring about the reason of chronic alcoholism with his family, they say that they can't think of any triggers as such.
PERSONAL HISTORY
Diet: mixed
Appetite: lost
Sleep: adequate
Bowel: regular
Micturition: normal
Addictions: drinks alcohol since 20 years, chews gutka since 1 year
Allergies: nil
Family history: not significant
GENERAL EXAMINATION
Patient is examined in a well lit room after taking an informed consent.
Patient is conscious and coherent.
No signs of pallor, icterus, clubbing, cyanosis, generalized lymphadenopathy, pedal edema
