Seizure Differential

Julia Rush, a 73 year old patient, presents to the emergency department with her husband who claimed that she struggled with eating her food, seemed “out of it”, and slurred her speech. On the way to the emergency department, her symptoms began to disappear. Julia’s husband still insists she gets seen just in case.

 

24 year old pregnant woman presents with headache, confusion, hypertension, and focal seizure

16 yo F presents with mother to discuss episode of falling to the ground. Patient’s mother notes that her eyes rolled back, her muscles were twitching, and she peed herself.

A 30 year-old-male patient presents post-seizure (his friend was with him at the time and called the ambulance). Patient has a temp of 101 F, intense headache, and a stiff neck. He's had 2 epsidoes of emesis while being the ED.

Cantor Jones, a 24 year old male, presents to the clinic with sever fatigue. He claims that he is getting adequate amount of sleep, but is still chronically tired. He recently had an episode where he “passed out” because he felt so weak after laughing too hard at one of his friends jokes.

85 year old woman with history of dementia and diabetes presents with sudden loss of consciousness and irregular movements. Prior to LOC, family states patient was holding their head and not acting themselves

A 32 year old patient was brought into the ED after being found on the ground due to seizure. Patient was reported to have a history of seeing flashing lights and other visual distortions in addition to nausea, vomiting, and light and sound sensitivity.

A 48-year-old male presents with tonic-clinic convulsions, patient also reports a 1-day history of headache, heart palpitations, anxiety, GI upset, and diaphoresis (sweating).

Hint: patient reported 30 year history of chronic alcoholism but wants to stop drinking