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Seizures - Coggle Diagram
Seizures
Differentials
Metabolic disorders
Medication/alcohol/drug intoxication
Brain tumor
Epilepsy
TIA
Convulsive syncope
Psychogenic non-epileptic seizures
Cardiac arrhythmia
Narcolepsy
Febrile seizure
Vasovagal seizure
Mirgraine
Movement disorders
Risk factors
Neurodegenerative disorders
Head trauma
Previous seizures
Family history
CNS Infection
History of substance abuse
Systemic infection/high grade fever
Premature birth
General assessment
?Tongue biting
Features (duration/timing/presentation
?Aura
Trigger
Urinary incontinence
Presentation after seizure
Managing seizure
Do not restrict movement
Recovery position
Monitor duration
Remove harmful objects
Examine and manage any injuries
Assess for tonic-clonic >5mins/>3 in 1 hour
Administer buccal midazolam in community setting, dial 999 ambulance if seizure does not respond to treatment/recurrent/prolonged/first seizure
Physical examination
Oral mucosa
Mental state
Neurological GCS
Developmental
Assessment for injuries sustained
Managing suspected epilepsy
Stop driving advice
Refer to neurology
Inform patient and family of suspicion
Avoid swimming
Provide written advice
Investigations
Bloods
FBC
U's &E's
LTFs
TFT
Calcium
Glucose
ECG