70/ M BROUGHT WITH INVOLUNTARY MOVEMENTS OF LEFT UPPER AND LOWER LIMBS FOLLOWED BY UNCONSCIOUSNESS 15 DAYS AGO
70/ M with recurrent CVA CHIEF COMPLAINTS: 70 YEAR OLD MALE BROUGHT TO CASUALTY BY HIS ATTENDERS WITH COMPLAINTS OF INVOLUNTARY MOVEMENTS OF LEFT UPPER AND LOWER LIMBS FOLLOWED BY UNCONSCIOUSNESS 15 DAYS AGO HISTORY OF PRESENT ILLNESS: • PATIENT WAS APPARENTLY ASYMPTOMATIC 15 DAYS AGO THEN HE HAD EPISODE OF INVOLUNTARY MOVEMENTS OF LEFT UPPER AND LOWER LIMBS FOLLOWED BY UNCONSCIOUSNESS, SUDDEN IN ONSET RAPIDLY PROGRESSIVE NOT ASSOCIATED WITH VOMITINGS, FEVER, DEVIATION OF MOUTH, TONGUE BITE, INVOLUNTARY MICTURITION AND DEFECATION, FROTHING AND UP ROLLING OF EYES. NO HISTORY CHEST PAIN, PALPITATIONS, BREATHLESSNESS EXCESSIVE SWEATING, COUGH COLD, PAIN ABDOMEN, ABDOMINAL DISTENSION, FACIAL PUFFINESS, DECREASED URINE OUTPUT PATIENT WAS INTUBATED ON DAY 3 OF ADMISSION IN VIEW OF EPILEPTICUS IN OUTSIDE HOSPITAL, ON DAY TRACHEOSTOMY WAS DONE AND ON MECHANICAL VENTILATOR PAST HISTORY: • NO SIMILAR COMPLAINTS IN THE PAST. KNOWN CASE OF CVA SINCE 1 YEAR, USING MEDICATION. KNOWN CASE OF TYPE 2
