13 year old female with Generalized tonic clinic seizures
A 13 year old was brought to the casualty with chief complaints of generalized tonic clinic seizures since 6 30 in the morning Patient had episodes of GTCS ? for 10 minutes associated with up rolling eyeballs, frothing present, tongue bite present, associated with fall (sustained head injury in frontal area) 5 to 6 episodes of GTCS with no regain of consciousness in between for 20 to 30 minutes Each episode lasted for 2 to 3 minutes, not associated with involuntary micturition Patient was taken to a local hospital and was given midazolam and is brought for further management Associated with headache which is diffuse bilaterally,1 episode of vomiting present, no bilious, watery, ? projectile Not a k/c/o HTN,DM,Asthma History of Anti Tubercular therapy taken for 6 months 1 year back General physical examination Patient is concious,coherent, oriented to time place and person No pallor , icterus cyanosis clubbing and lymphadenopathy Vitals on admission Temperature 98...
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