Discover and read the best of Twitter Threads about #Seizure

Most recents (8)

🚨Portland EMS 911: -scanner
10:25AM -12:33PM (Under 2 hrs)
Stroke
Chest pain / Cardiac
Possible death
Chest pain / Cardiac
Seizure
Unconscious
Chest pain / Cardiac
Death
Cardiac arrest
Overdose
🚨Portland 911: -scanner
8:00PM - 8:59PM
Cardiac arrest
Fainting/ Collapsed
Chest pain
Unconscious
Chest pain
Cardiac arrest
Cardiac problem
CPR
The new normal #Cardiacarrest #heartattack #EMS #911
Portland 911: 3 reported #Siezures in under 30 minutes. The new normal. #cardiacarrest #heartattack #stroke #seizure #diedsuddenly
Read 7 tweets
6-yr old to me: "Doctor, I have grade 4 cancer and will live only for 6 more months, don't tell my parents about this"
1. It was another busy OPD, when a young couple walked in. They had a request "Manu is waiting outside. He has cancer, but we haven't disclosed that to him+
2. Please see him and advise your treatment, and don't share the diagnosis to him". I nodded my head, accepting their request.
Manu, on a wheelchair, was brought in. He was referred by his #oncologist for management of seizures.
He had a smile, appeared confident & smart.
3. On reviewing history and medical records- Manu had been diagnosed with glioblastoma multiforme grade 4 in left side of brain, due to which he had paralysis of right hand and leg. He had been operated, and was on chemotherapy. Seizures were due to brain cancer.
#MedTwitter
Read 9 tweets
SEIZURE SEMIOLOGY TWEETORIAL
#Epilepsy #Neurotwitter #Seizure #Semiology

🧵1/ What is a somatosensory aura?
A somatosensory aura is an abnormal subjective somatic sensation, involving one or more body parts, typically described as 'tingling' or 'numbness'. ImageImage
2/ There are three main types of somatosensory auras: Paresthetic auras, Painful auras, Thermal auras

Paresthetic auras are probably the most common type reported by patients. ImageImage
3/ Paresthetic auras are reported by patients as tingling, numbness or both. These often occur in discrete body parts such as fingers, hand, face etc. and are mostly lateralized. Just like focal clonic seizures, these auras can show a "Jacksonian march". ImageImageImage
Read 21 tweets
He also had a #seizure. He was 20 years old. What caused the seizure? Please, god, help people wake up. stunewslaguna.com/index.php/2-un… #suddendeath #SADs #WeKnowWhyPeopleAreDyingLikeThis
44 years old. Had a heart attack WHILE driving her bus. Just another coincidence. bronx.news12.com/mta-driver-fig…
This is so rare. So so rare. Except it’s happening all the time now, reported or not. nbcnews.com/news/amp/rcna1…
Read 4 tweets
SEIZURE SEMIOLOGY TWEETORIAL
#Epilepsy #Neurotwitter #Seizure #Semiology

🧵1/ What is a visual aura?
Visual auras consist of brief, stereotypical, visual hallucinations of static, flashing or moving lights in different shapes and colors, complex hallucinations and illusions. ImageImage
2/ Visual auras can be classified into many types- simple visual hallucinations, complex visual hallucinations, visual illusions and ictal amaurosis. #Seizure #Semiology #Neurotwitter ImageImage
3/ Simple visual hallucinations are typically described as flashing lights of different shapes-circles, stars, halo, lines, spots etc. These may or may not be colored. They may or may not move. These always lateralize to the contralateral hemisphere. #Neurotwitter ImageImage
Read 14 tweets
SEIZURE SEMIOLOGY TWEETORIAL
#Epilepsy #Neurotwitter #Seizure

🧵1/ What is a clonic seizure?
A clonic seizure is defined as a series of rhythmic "myoclonic" contractions of the involved muscle groups at a frequency of 0.2-5Hz, clinically characterized by twitching movements. ImageImage
2/ The first formal description of clonic seizures was provided by Louis Francois Bravais in 1827. He described "hemiplegic epilepsy" where the 'convulsion' was restricted to one side of the body. This was part of his thesis for the degree of MD at Univ. of Paris. #NeuroTwitter ImageImage
3/ Sir John Hughlings Jackson, in 1870, delivered a lecture at St. Andrews Univ called "A study of convulsions". In this paper, he described unilateral motor seizures as "deliberate spasm of one side of the body, and in which parts of the body are affected, one after another." From "Epilepsy- A Comp...
Read 15 tweets
Excited to Dr. @AnjniJoiner sharing with @dukeemergency on #seizure and management.

First step is knowing the classifications!
2/ Seizure Mimics are key! Its important to keep a broad differential diagnosis as you approach a seizing patient!
3/ Management of seizure:

1⃣ The first step in management is ABCs!
2⃣ ✅ a blood glucose!!
3⃣Determine if Sz vs mimic: (mimics can look like true seizures. Get a good Hx/PE. (Thanks @GeraldMDMD for this great DDx chart!)
Read 10 tweets
Mind boggling case
13-year old girl
5 - 6 years on #ayurvedic treatment (shown below) for #Epilepsy. #Ayurveda promised no more #seizure.
Now jaundice, fluid in abdomen, dark pigmentation
#livertwitter #MedTwitter #MedEd #Science #ScienceMatters #pathology #MedicalStudent
1/4
#liver #biopsy
Diagnosis: severe #alcohol #hepatitis and underlying #incomplete septal #cirrhosis (rare, #hepatoportal sclerosis) - 2 diseases in one liver! #radiology
WHY DID THIS HAPPEN?
See retrieved #Ayurveda #drugs analysis results.
#pseudocience
2/4
#Chemicals & #Toxicology analysis
#alcohol content - total 26.17 % v/v
#Arsenic content - total 2461.367 mg/kg
Single highest #Herbal #medicine - Arsenic was 1982.44 mg/kg
Two #ayurvedic drugs also contained #CLONAZEPAM - a modern medicine with anti seizure property😞
#ayush
3/4
Read 4 tweets

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