A 37 yr old male with seizures and evaluation assosiated with diabetes and hypertension

August 25, 2022

A 37 yr old male with seizures and evaluation assosiated with diabetes and hypertension

A 37 year old male who is a farmer and cable operator by occupation has presented to the casualty with chief complaints of Seizures on day before yesterday's night

HISTORY OF PRESENTING ILLNESS -

The patient was apparently asymptomatic 2 days back then he developed seizures while he was asleep and had 4 episodes (2 in home, 2 in ambulance)

he has a history of Headache since 8 days associated with generalised weakness. He also said he used to suffer with it earlier, but with less intensity.

There was Froathing but no tongue biting when he was brought to hospital.

On the day he developed seizures he ate an apple, pomegranate and a banana after which he consumed red wine.

There were Involuntary movements for 30 sec which first started in the left side and then became generalised.

There was Loss of consciousness for 3 min And no Post ictal confusion for 5 min

PAST HISTORY-

There is History of diabetes mellitus (type 2) since 6 years and was using metformin 500mg OD ever since

No history of asthma, TB, HTN

FAMILY HISTORY-

Father is a known case of diabetes and hypertensive

Elder brother- sudden death with chest pain on a night, before 2 years ago.

TREATMENT HISTORY-

Tab. Metformin 500mg + glimepiride 1mg OD in the morning