63 Srinija Karnekanti

Learning points  - This is a case of 65 year old female with Generalised Tonic Clinic seizures  Osce questions 1) Reasons for seizures in old age people  * Neurodegenerative disorders * Cerebrovascular disorders  * Dementia  * Metabolic disorders      - Hypoglycemia      - electrolyte imbalances     - uraemia * Physical or mental exhaustion  2) pathophysiology of seizures  * To function normally brain must maintain a continual balance between excitation and inhibition , remaining responsive to environment while avoiding continued unrestrained  spontaneous activity * GABA inhibitory neurotransmitter acts on ion channels , enhances inflow of chloride and reduces formation of action potential  * Excitatory amino acids allow  influx of sodium and calcium and producing opposite effects  * It is likely that many seizures results from an imbalance between this excitation and inhibition.  ( From Davidson medicine text book ) 3) Drug of choice for different seizure disorders  4) phe

  65 year old female patient with seizure December 05, 2023 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. A 65yr old female resident of lingotum with history of seizures  Chief complaints:- .  The patient was brought with chief complaints of Active involuntary movements 5 days back, history of frothing , mouth deviation to left  uprolling eyeball ,no h/o of tongue bite, urinary inc