Learning points:- I have learned about treatment plan of epilepsy Mechanism of action of phenytoin in epilepsy Maintenance and loading dose in epilepsy Adverse effects of phenytoin in therapeutic range Importance of levitriacetam in status epilepticus I have learned how to auscultate bronchial breath sounds In community acquired pneumonia case:-Characteristic difference between inspiratory and expiratory sounds of bronchial breath sounds(inspiration- gushing expiratory-hollow) In CKD case:- how to examine distended abdomen, how to perform fluid thrill, how to perform shifting dullness OSCE:- -causes of unexplained onset of seizures in adults various structural and functional causes can be responsible for late onset of seizures with unexplained origin -cerebral small vessel ischemic disease -accumulation of amyloid beta - hyperphosphorylated tau -sleep apnea https://pubmed.ncbi.nlm.nih.gov/31481308/ IDIOPATHIC GENERALISED EPILEPSY While late-onset IGE (IGE with an age at onset of a
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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. I have 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 diagnosis and treatment plan. This blog is done by 103.Pavan & 104.Jeshmitha A 55yr old female resident of chityal with history of seizures Chief complaints:- The patient was brought to casuality with chief complaints of Active involuntary movements ,since 30 minutes, history of frothing from mouth deviation of eyeball upwards ,tongue bite with urinary incont