A 45 old male patient presented to the opd with the cheif complaint of fits .

HISTORY OF PRESENT ILLNESS-

-patient was apparently asymptomatic until midnight 1Am.Then he developed with seizures around 1 to 2 am.

-Each episode lasts for 2 to 3 min associated with tongue bite and uprolling of eye balls .

-Patient had a total of 3 episodes with postictal confusion for 5 to 10 mins and vomiting after each episode.

-no history of fever and headache .

-history of left lower limb swelling on and off associated with pain since 1 month .

-no other complaints.

HISTORY OF PAST ILLNESS-

patient had a history of similar complaints 2years back.

-patient is a known case of diabetes mellitus since 2 years and on medication with

GLIMY-M1-OD.

PERSONAL HISTORY- 

Diet-mixed 

His bowel and bladder movements are normal.

Patient is chronic alocoholic since 20 years and started taking more amount of alcohol since last 2 years .

He had been binge drinking from past 4 days and last drink was taken yesterday night.

FAMILY HISTORY-

No history of similar complaints in the family .


TREATMENT HISTORY-


no history of drug allergies

No treatment taken for present illness.

GENERAL EXAMINATION-


patient is conscious, coherent and cooperative.

-no pallor

-no icterus 

-no clubbing 

-no cyanosis 

-no generalized lymphadenopathy

-no bipedal edema .

VITALS:-

temperature-97.4 degree F.

Pulse rate -80 bpm.

Respiratory rate -20 cycles /min .

B.p-110/90.

SpO2-98%.








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