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EM Clerkship

Seizure

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 27 August 2017

⏱️ 9 minutes

🧾️ Download transcript

Summary

Basic Approach Step 1: Describe the seizure Did patient have an aura? Was there loss of consciousness? What did the movements look like? Did they have postictal phase? Did they have a trauma as well? Step 2: Ask about TIME (mnemonic) Tongue biting Usually occurs on the lateral sides of tongue Incontinence Medication changes/adjustments Ethanol […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

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0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.a.i. Hello, med students. My name is Zach Olson and thank you for downloading

0:51.3

this week's episode of the EM Clerkship Podcast.

0:57.2

Core neurology topic today, here is your case.

1:07.9

Okay, this is Nikita, 27-year-old, had a seizure at a local urgent care.

1:13.4

Vital signs are post-65, respiration is 12.

1:17.3

BP 110 over 80, 8, febrile.

1:19.9

We do have line established.

1:22.0

We didn't give any benzo.

1:23.0

She's been post-tickable the whole time she's been with us.

1:25.3

Had a boyfriend with her.

1:27.6

It does have a past history of epilepsy.

1:30.3

It is on Kepra, Zonagran, Carbatrol, and Anfee generally presents as Petit Mall,

1:35.1

but this was a grand mall seizure.

1:37.0

No history of alcohol, tobacco, or drugs.

1:39.1

Glucose was 124.

...

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