19F SEIZURES SCONDARY TO NEUROCYSTICERCOSIS
Hi, this is Shreshta Reddy Adla, a medical student currently studying in KIMS Narketpally. This page is a compilation of cases taken up during my medical school years, with an intent to correlate theoretical concepts of medicine to practical aspects of it. These E-logs have been created after taking consent from the patient and the patient's advocate. So welcome, and I encourage you to immerse yourselves into these interesting cases.
NOTE: THIS IS AN ONLINE E LOGBOOK 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 A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS INTENDING TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT.
This is a case of a 19 year of female who came to the hospital with
chief complaints:
of headache and nausea since 2 days
HOPI:
Patient was apparently asymptomatic 2 days ago
Then developed
Head ache
which is frontal ,
associated with nausea ,
non radiating ,
intermittent type.
H/O vomiting , 1 episode today after coming to the hospital , food as content,
non bilious,
non projectile
In the course of hospital , she developed 2 episodes of seizures, each lasted for 2 minutes ,
generalized tonic clonic ,
with frothing,
post ictal confusion ,
no tongue bite,
no uprolling of eyes and
gained consciousness after 1 min
No H/O SOB , chest pain ,palpitations, sweating , orthopnea , pnd
No h/O fever ,cough, cold
No H/O blurring of vision
No H/O burning micturition, loose stools , abdominal pain
Past history :
Known case of neurocysticercosis 8 months back because of which she developed 3 episodes of seizures . She didn't have any episode of seizure since then .
N/K/C/O DM, HTN, CAD, CVA, TB ,asthma , thyroid disorders
Personal history:
Occupation- sales girl
Mixed diet
Appetite - decreased
Bowel and bladder movements are regular
General examination:
Patient is conscious , coherent, cooperative
No signs of pallor , icterus , clubbing, cyanosis , lymphadenopathy, edema
Vitals -
Temp- afebrile
BP- 110/70 mmhg
PR - 84bpmRR- 17 cpm
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