Question

Diagnosis: Patient is brought to the ER after having a seizure in the waiting room of her neurologist office.

Her worried husband describes the episode as lasting 20 minutes, consisiting of shaking with her eyes closed

Answer 1

A 20-minute seizure in a neurologist's waiting room suggests an epileptic event, necessitating rapid neurological examination and potentially an EEG, followed by targeted treatments based on the patient's established epilepsy history.

Step-by-step explanation:

The patient's episode of shaking with closed eyes lasting 20 minutes in the neurologist's waiting room indicates a seizure. Similar neurological events are key concerns for neurologists, where rapid and precise assessments like muscle strength testing, sensory checks, and possibly an EEG are crucial first steps.

Neurological exams can quickly pinpoint CNS issues, guiding further investigation, such as a CT scan to rule out stroke, blood clots, or other brain conditions. The patient's medical history of epilepsy since childhood or youth and the typical approach using anticonvulsant medications or, in severe cases, surgery, highlights the complexity of epilepsy management.