Page 315 - 2021 IDMT Digital
P. 315
SEIZURE
Introduction:
• $ VHL]XUH LV DQ XQFRPPRQ HYHQW WKDW FDQ EH FDXVHG E\ PDQ\ GLIIHUHQW DLOPHQWV DQG
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o $OFRKRO DQG GUXJ ZLWKGUDZDO
o +\SR RU K\SHUJO\FHPLD RU XUHPLD
o 7UDXPD
o ,QIHFWLRXV GLVHDVHV
Subjective:
• 6LJQV DQG 6\PSWRPV
o $EUXSW RQVHW RI DEQRUPDO PXVFOH DFWLYLW\
o 3URGURPH RI FRQIXVLRQ SHFXOLDU EHKDYLRU DXWRPDWLVPV RU RWKHU SV\FKLF
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o 0D\ ORVH FRQVFLRXVQHVV
• )RFXVHG +LVWRU\
o 7UDXPD DQG LQMXULHV
o 0HGLFDWLRQV DOFRKRO DQG GUXJ KLVWRU\
o 7DON WR ZLWQHVVHV DERXW WKH VHL]XUH - GLG WKH SDWLHQW ORVH FRQVFLRXVQHVV XULQDU\
LQFRQWLQHQFH OHQJWK RI VHL]XUH, post-event confusion (post-ictal state)
Objective:
• 3K\VLFDO ([DP
o &RPSOHWH QHXURORJLFDO H[DP WR LQFOXGH WKH PHQWDO VWDWXV H[DP
• 7RROV
o &%& IRU VLJQV RI LQIHFWLRQ
o Fingerstick/8$ IRU JOXFRVH OHYHO
o (&* IRU detecting DUUK\WKPLD DV HWLRORJ\ IRU V\QFRSH
Assessment:
• 'LIIHUHQWLDO
o $OFRKRO RU GUXJ DVVRFLDWHG VHL]XUHV ZLWKGUDZDO
o +HDW VWURNH K\SHUWKHUPLD
o 3DQLF DWWDFN HYLGHQFH RI DQ[LHW\ GLVRUGHU EHWZHHQ DWWDFNV ZLWK FOHDU UHODWLRQVKLS
o 6\QFRSH events RFFXU with SRVWXUDO FKDQJH HPRWLRQDO VWUHVV SDLQ RU VWUDLQLQJ
o (SLOHSV\
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