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65 year old female patient with seizure

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This is an online e log book to discuss our patient de-identified health data shared after taking his / her / guardians signed informed consent. Here we discuss our individual patients problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problem with collective current best evident based input. I have been given this case to solve in an attempt to understand the topic of " patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with diagnosis and treatment plan. A 65yr old female resident of lingotum with history of seizures  Chief complaints:- The patient was brought to casuality with chief complaints of Active involuntary movements ,since 30 minutes, history of frothing , mouth deviation to left  uprolling eyeball ,no h/o of tongue bite, urinary incontinence, fever, head injury, vomitings, lo
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OSCE Pre final examination

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What is the pathway of metabolic syndrome Metabolic Syndrome  Metabolic Syndrome represent a cluster of metabolic abnormalities that include hypertension,central obesity , insulin resistance and dyslipidemia and is strongly associated with increased risk of developing diabetes and atherosclerotic and non atherosclerotic cardiovascular disease . The pathogenesis of metabolic Syndrome involves both genetic and acquired factors that contribute to the final pathway of inflammation.  Difference between seizure and pseudo seizure 1) During an attack findings such as asynchronous or side to side movement, crying, eye closure suggest pseudo seizure whereas occurance during night suggest true seizure. 2) lack of any symptoms and memory of the attack  suggest pseudo seizure whereas confusion , stertorous breathing suggest true seizure. Learning points  1)Importance of proper history taking and prior treatment taken . 2)Importance of early diagnosis and prevention of compl
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