Seized

Endocrine System


Step 1: View Clinicals

{"ops":[{"insert":"A 32-year-old man presents 30 minutes after a generalized tonic-clonic seizure, which lasted for around three minutes and was followed by a brief period of confusion.\n\nFurther questioning reveals that he has been experiencing multiple episodes of abnormal twitching of his facial muscles over the last six weeks. Each episode lasted for a couple of minutes, during which time he remained conscious and rational.\n\nHis medical history is significant for trauma to the head and neck following a motor vehicle accident around a year ago, from which he obtained a complete recovery. At that time, computed tomography (CT) was negative for intracranial hemorrhages.\n\nThere is no family history of seizures. He does not smoke and drinks socially.\n\nA complete blood count is within normal parameters, as are a random capillary glucose assay, and serum sodium and potassium levels.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-231_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Serum ionized calcium levels
2. ECG

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