case 49 : 23F with loss of consciousness

December 15, 2022

October 16, 2020

thanks Dr. Saloni (intern)

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CASE PRESENTATION:

A 23y old female patient presented to casualty with c/o loss of consciousness

Pt was apparently asymptomatic 15 days back then she had headache and fever which was insidious in onset,high grade,intermittent type,not a/w chills and rigors ,no diurnal variation,releievd on medication.

Fever was a/w neck stiffness

H/o vomiting since 10 days .it was a/w food intake.(with food particles as contents ,non bilious,non projectile,non foul smelling)

H/o body pains and weakness since 10 days

For above complaints she went to a local hospital and was diagnosed as typhoid positive. Symptoms wer relieved on medication

Then later she developed giddiness, not responding to speech and presented to casualty in state of drowsiness.

later she had episode of a tongue bite a/w involuntary micturition

No h/o cold ,cough,burning micturition,haematuria,sob,chest pain,pedal edema

PAST HISTORY: Not k/c/o DM,HTN,asthma,CKD,CHD,Thyroid anomalies

Non alcoholic and non smoker.No other addictions

HABITS: He was on mixed diet, appetite normal, constipation only on high protein diet

GENERAL EXAMINATION: pt was in state of stupor

GCS :E1V1M1