45 YRS OLD MALE CAME TO GM OPD WITH SEIZURES
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This is a case of 45 Yr old male resident of chityala,farmer by occupation came to gm opd WITH
CHIEF COMPLAINTS :
One episode of seizures 1 week back and he had bleeding from mouth due bitting tongue during the episode
##HISTORY OF PRESENTING ILLNESS#
Patient was apparently asymptomatic 20 yrs ago .he was alcoholic then, he started with toddy for 3yrs and continued with BRANDY due work stress,and family issues.he had a episode of seizures after consuming alcohol in year 2020
Again had 3 episodes of seizures in the interval of 2018_ 19,went to local doctor and it subsided, did stop drinking for a 6 month period.
Recently he started drinking and Patient was apparently asymptomatic 1 week back, then he has an episode seizures while he was doing his work on monday .then he went to the local doctor for the treatment he had given a tablet for it and the seizures subsided .he came to the opd on wednesday and he was advised for the investigation .
he refused due to lack of money and went back home
he came back again to the opd for the treatment on 3rd DEC 2022 after an episode again
PAST HISTORY:
He had a history of episode of seizures 2 year back
*he had three episodes of in six months .
Not a k/c/o HTN, DM, CAD, ASTHMA, EPILEPSY, THYROID DISEASE
PERSONAL HISTORY:
Appetite decreased,
Sleep adequate,
bowel movements regular,
bladder regular,
addictions: he consumes alcohol every one week from 25 years amount 90Ml in morning and 45 to 50 ml in the evening
he had consumed alcohol the day before he had seizers 180 ml
smoker ( kini ) : every day since 7 years ( 1 packet =2 days ).
DAILY ROUTINE:
FAMILY HISTORY:
not significant family history
ALLERGIE HISTORY:
Not allergic any food or medication
Not allergic to any drugs.
GENERAL EXAMINATION:
Patient is conscious, coherent and non cooperative
he is well oriented to time, place, person.
examined in a well lit area
moderately built and moderately nourished
Pallor- Absent
Icterus- Absent
cyanosis- Absent
Clubbing-Absent
Lymphadenopathy- Absent
Pedal edema- Absent.
"VITALS" :
- Temperature - 98.6 F
- Pulse rate - 79 beats per min
- respiratory rate - 24breaths per min
- Blood Pressure -140/80 mm of Hg.
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Inspection:- Chest appears Bilaterally symmetrical & elliptical in shape. Respiratory movements appear equal on both sides and it's Abdominothoracic type.
Trachea central in position
Palpation:-
All inspiratory findings confirmed
Trachea central in position . Apical impulse in left 5th ICS, 1cm medial to mid clavicular line
.
Percussion:- all areas are resonant
Auscultation:- Normal vesicular Breath sounds (NVBS)
Abdomen is soft and non tender
No organomegaly
No shifting dullness
No fluid thrill
On 5th dec 2022:
##PROVISIONAL DIAGNOSIS::
Alcohol induced seizure.......
Treatment :
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