82 year old male patient with fever and seizures CASE 2

Hi, I am Yeddula Vishnu Priya, 3rd semester medical student. This is our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. This elog also reflects my patient centered online learning portfolio.

CHIEF COMPLAINT

82 year old male patient , resident of muthkur came to opd with a chief complaint of fever since 5 days and involuntary movements in upper and lower limbs.

HISTORY OF PRESENT ILLNESS

Patient was apparently asymptomatic 2 days back. In the afternoon he developed a high grade fever followed by involuntary movements in all the limbs. Tongue biting and uprolling of eye were also there.

Was taken to hospital and medications were given.

But later that night he developed those symptoms again.

He had tongue biting, uprolling of eyes, involuntary micturition and Bowel movements with postictal confusion for around 5 minutes

There is no history of similar complaints in the past

Initially after regaining consciousness he couldn't recognize the attendees but he got better after some time.

HISTORY OF PAST ILLNESS

No diabetes, No HTN, no asthma or any COPD

PERSONAL HISTORY

Patient is farmer by occupation

married

Bowel movement is regular

Micturition normal