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Multisystem Processes & Disorders


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This 35 year old athlete developed a generalized tonic-clonic convulsion following prolonged exertion. Was this a syncopal convulsion or a frank seizure ?\n\nWhile at first glance a syncopal episode seems to be more likely, a closer perusal of the history reveals several facts favoring a seizure.\n\nSyncopal convulsions rarely last more than 30 seconds, while tongue bites are generally uncommon. In addition, the drowsiness and confusion are suggestive of a postictal state.\n\nWhile a myriad of conditions may give rise to a seizure, the peculiar circumstances of presentation (including the fact that this individual was healthy enough to run for several hours continuously) significantly narrows down the differentials to heat stroke, hemorrhagic str"}]}

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