45 year old male with recurrent seizures

October 19, 2021

45 year old male with recurrent seizures

Mallannagari.Srilekha roll.no:77 9th semester

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Chief complaints:

A 55 year old male cane to the old with two episodes of seizures in last two weeks.

Shortness of breath since 2 weeks

History of fever 10 days back

Vomitings two episodes per day

History of presenting illness

A 45 year old male with history of congenital seizure . Later

Episode of seizure could occur while eating or triggered by any emotional stress ,there is no history of seizures in sleep. Episode lasted for 1-2 minutes and post ictal period for 15-30 min ,there is involuntary movements including both upper limbs, there is drooling of saliva from mouth, there is no uprolling of eyes. but the patient does not remember anything about the episode.

Shortness of breath since 10 days of grade 2

Dyspepsia since three days.

Vomintings two episodes per day ,content is food which he has taken.

Past history:

Medical

There is history of seizure soon after birth later once every one year or two year.inspite of taking medications the patient had episodes every 2-3 months. He is kept on Tab ZEPTOL CR 300 BD.Not a known case of diabetes mellitus , hypertension, tuberculosis ,Asthama, CVA

No past surgical history.

Personal history:

Diet mixed

Appetite normal

Bowel and bladder regular

No known allergies

Alcohol regular

No significant family history.

General examination:

patient is conscious ,coherent, cooperative and oriented to Time, place , person.