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Seizure History
Nov 16, 2010
•
Mark Morgan
categories:
Neurology
Subjective/History
The seizure episode happened
before this evaluation.
Onset while
.
Episode location:
no
YES
<-- Recurrence?
Number of recurrences:
Longest recurrence duration:
The last similar episode was
the episode
after the episode
neither the episode or after the episode
<-- The patient remembers
Preceding symptoms
no
YES
<-- lightheadedness
no
YES
<-- palpitations
no
YES
<-- chest pain
no
YES
<-- nausea or vomiting
no
YES
<-- headache
no
YES
<-- abdominal pain
no
YES
<-- visual changes
a moment
a few minutes
more than a few minutes
an hour
hours
days
<-- Preceding symptoms lasted
Witnessed by
What was witnessed?
no
YES
<-- complete loss of consciousness
no
YES
<-- confusion following the episode
no
YES
<-- urine incontinence
no
YES
<-- stool incontinence
no
YES
<-- apnea
no
YES
<-- pulselessness
no
YES
<-- low blood sugar
no
YES
<-- extremity weakness
Past Medical History
no
YES
<-- Recent trauma
no
YES
<-- Seizure history
no
YES
<-- Diabetes Mellitus history
no
YES
<-- Coronary Artery Disease history
no
YES
<-- Cerebrovascular Accident history
no
YES
<-- Serious CNS risks (e.g. active cancer, immunosuppression, HIV)
no
YES
<-- Pregnancy
Exposures
no
YES
<-- Low blood sugar
no
YES
<-- Last alcohol
no
YES
<-- Drug abuse
no
YES
<-- Seizure medications
Associated injuries include:
display/hide references
reference: contributed by Dr. Scott Moses, creator/author of the Family Practice Notebook
website
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