Long Case with Proff Ch

What are the problems with the child?
Currently been admitted for break through seizure.
What is the cause for break through seizure?
What r other causes of break through seizure?
What is her neurological status?
(global) Delayed development. i said mainly effecting speech – WRONG
3 year mile stones?
What are the advice for parents if seizure happen at home
Side effects of epilim? Is it suitable for this child?
SE of phenytoin?
Causes for status epilepticus in this child
Psychosocial problem? Parents can cope financially with it. But still other children may feel neglected. Time consuming for this child.
How will you manage this child.
It has to be a multi disciplinary approach. Dietician, physio, speech, occupational therapy,
FTT
Get dietician advice. Some examiners ask for quite detail in diet. READ
How would you manage this child epilepsy?
Hemiparesis NOT hemiplegia. Cause?
Drooling of saliva do not cause electrolyte imbalance?
Squint.
Funduscopy – cover yourself difficult to exam in this uncooperative child.
This child also has CP. What is the cause? Classify? Hypoxic insult during status at 11 month
What is the prognosis?
Guarded.