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BD TLEAD 10 (Seizures) (Distinguishing Clinical Features of Seizures: (●…

- - - - Metabolic: do bloods for ↓ glucose, ↑ Na, ↓ Na, ↓
        K, ↓ Ca, ↓ Mg, uremia, hyperammonemia. A stat
        hypocount is always wise. Do not stop at
        identifying the metabolic derangement – search out
        its etiology.
    - - meningitis (including TB), encephalitis,
        cerebral abscess, and parasitic dx (cerebral malaria,
        cysticercosis). Examine for fever, signs of
        meningism (stiff neck, photophobia, Kernig’s,
        Brudzinski’s) and ↑ ICP (papilloedema, CN VI
        palsy, pupillary dilation, Cushing’s reflex). Do
        lumbar puncture and blood cultures. This is
        mandatory in all HIV patients even if infection is
        not suspected.