Enclosed

Immune System


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"The adult patient with a first seizure is a fairly common presentation, accounting for between 0.24% to 0.3% of all visits to the emergency department.\n\nThe very first step in these patients should be to verify that there is no further seizure activity, and that their vital signs are stable; this should preclude diagnostic evaluation.\n\nOnce stable, a thorough and systematic history should be obtained, aiming to determine the likely causative etiology.\n\nThe first point which needs to be established is whether the patient presented with a seizure proper; or whether vasovagal syncope (VVS), cardiac syncope, or an unusual cause of collapse (such as transient ischemic events, psychogenic attacks, or cataplexy) is more likely.\n\nNote that VVS is b"}]}

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