Case presentation on generalized tonic clonic seizure - useful for medical students, pharmacy students, for covering the case reports required during their education. Includes basic information about the disease, subjective evidence, chief complaints of the patient, vital signs, objective evidence, laboratory data, assessment, provisional diagnosis, final diagnosis, treatment chart ,planning and medications given to the patient during his/her stay in the hospital.

1. CASE PRESENTATION ON
GENERALIZED TONIC-
CLONIC SEIZURE
PRESENTED BY :- MANSI PANCHAL
SWAMINARAYAN UNIVERSITY
PHARMD

2. ABOUT THE DISEASE
• OCCURS WHEN ABNORMAL ELECTRICAL ACTIVITY
CAUSING A SEIZURE BEGINS IN BOTH HALVES
(HEMISPHERES) OF THE BRAIN AT THE SAME TIME.
• INVOLVES BOTH TONIC (STIFFENING) AND CLONIC
(TWITCHING OR JERKING) PHASES OF MUSCLE ACTIVITY.

3. SUBJECTIVE EVIDENCE
• IP NO:- 18085666
• AGE:- 48 years
• GENDER:- female
• DEPARTMENT:- female ward
• DOA:- 2/7/19

4. REASONS FOR ADMISSION
• Breathlessness
• Drowsiness
• Convulsion (1st episode)
VITAL SIGNS :-
-Pulse rate :- 80BPM
-BP:- 130/70 mmHg
-temp:- 98.4F
-SpO2 :- 98%

5. LABORATORY DATA
PARAMETERS PATIENT’S
VALUE
REFERENCE PARAMETERS PATIENT’S
VALUE
REFERENCE
Hb 9.8 12.5-16g/dl RBCs 4.45 4.20-5.40
Neutrophils 81 30-70% MCV 82 76-90fl
Lymphocytes 28 20-40% MCH 28 25-3 pg/cell
Eosinophils 2 0-7% Calcium 10 8.5-
10.5mg/dl
Monocytes 5 <10% Cholesterol 192 <200mg/dl
Platelets 445000 150000-
450000/ul
LDL 116.9 <100mg/dl
S. creatinine 0.5 0.5-1.5mg/dl HDL 46.7 >40mg/dl

6. EEG (ELECTRO ENCEPHALOGRAM)
• Shows unusual electrical activity in brain.
ASSESSMENT :-
On the basis of subjective and objective data, the final
diagnosis made was K/C/O HTN + GTCS.

7. TREATMENT CHART

8. ABOUT MEDICATIONS
• T RABEPRAZOLE:- 20 min before having meal
• T PHENYTOIN:- for convulsion
• T FOLIC ACID:- Vitamin supplement
• T ANZLODIPINE :- To reduce bp
• T PIABNEWE :- vitamin supplement
DISCHARGE MEDICATIONS:-
• T EPSOLIN :- 100mg TDS
• T FA:- 5mg BD
• T RBSON D :- 20mg BD
• T AMLO :- 5 mg OD