Patient suffering from Alcohol withdrawal syndrome
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This is case of a 40 yr old male patient came to casualty with history of Involuntary movement of bilateral lower extremity since 2days
CHIEF COMPLAINT :
Patient came to casualty on 16/3/22 with involuntary movement of legs since 2days .
DURATIONS :
GTC type seizure.
Lasting for 3min not a case of uprolling of eyes , tongue bite , involuntary micturition ,
2 episodes per day .
Was taken to local hospital and was treated conservatively .
PATIENT HISTORY :
Patient was asymptomatic 2days back . Then he developed pain in the bilateral lower extremity .
He fainted when he was in his work and he wasn't conscious until the patient family brought him to the hospital . He has alcoholic habit from past 20 years and also has smoking habit as the same time being.
PRESENT ILLNESS HISTORY :
No similar complaints in the past . No history of head trauma , chestpain , palpitations .
HISTORY OF PAST ILLNESS :
No diabetes mellitus and no hyperstension.
Patient is a alcoholic from past 20years and also have smoking habit for the same time being .
Patient is a farmer and does his daily routine activities . He has stopped his alcoholic habit fr 10days few years back . But then started the habit again .
Later he stopped the habit again until thn his third son died 6months back . So he started drinking again.
Then he was admitted to hospital 2days back.
TREATMENT HISTORY
No hypertension
No diabetes mellitus
No CAD
PERSONAL HISTORY
MARRIED
Occupation: Farmer
Appetite : Normal
Mixed diet
Alcohol : Regular
Smoking : Regular
FAMILY HISTORY
No related family history
GENERAL EXAMINATION
Temp : 98.5
Pulse rate 99/min
Respiration 18/min
Bp 110/80
SYSTEMIC EXAMINATION
CVS
Cardiac sounds : Both S1 S2 heard
RESPIRATION
No Dyspnoea
No wheeze
ABDOMEN
Shape of abdomen : scaphoid
No Tenderness
CNS
Level of consciousness :
Conscious
Speech : Normal
PROVISIONAL DIAGNOSIS :
Alcohol withdrawal seizure
INVESTIGATIONS :
Hemogram :
Hb : 7.6
TLC : 1,700
PCV : 22.8
MCV : 102.7
MCH : 34.2
MCHC : 33.3
RBC : 2.22
ECG :
Rx :
25% Dexture IV
IV NS RL 100ml/hr
Inj.PANTOP 40mg/IV/OD
INJ.LORAZEPAM IV / SOS
W / F SEIZURE ACTIVITY