OSCE PREFINAL EXAMINATION
OSCE PREFINAL EXAMINATION Date :2/12/ 2023 A 55yr old female resident of chityal with history of seizures Chief complaints:- The patient was brought to casuality with cheif complaints of Active involuntary movements ,since 30 minutes, history of frothing from mouth deviation of eyeball upwards ,toungue bite with urinary incontinance no h/o of fever, head injury, vomitings, loose stools. History of presenting illness - asymptomatic 20 yrs ago she developed sudden onset of movements in upper and lower limbs for 5 minutes , confusion The frequency & duration of episodes were gradually increasing with in these 20 years Initially it was 1 episode in 5 yrs ---->later 2-3 episodes within 5yrs ----->one episode in 2years ---> single episode in 1yr ---->2-3 episode in a year PHENYTOIN -100mg OD was prescribed in a private hospital She was on underdosage of phenytoin (phenytoin maintainence dose is usually 100mg thrice a day - 3-5mg...




















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