PATIENT CASE
Expires in 15 days
SYSTEMIC COMPLICATIONS OF SEIZURE
A 34-year-old woman in otherwise good health suffers a first grand mal seizure, and during her postictal state begins to experience hypoxemia, tachypnea, tachycardia, and frothy sputum. Auscultation reveals diffuse rales. How does seizure activity cause this presentation? How does this differ from ARDS?
by Matthew Castroneves • Neurologist
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Responses from other professionals.

M. GRI
Pediatrics
Answered 5 hours ago
I would recommend to discontinue the marijuana usage and definitely establish with a PCP and a psychiatrist in the very near future to discuss restarting ADHD medication as well as to consider anti-depressant therapy as well. Also, I would recommend that the patient find a psychologist as well for further help in regards to coping with depression/anxiety. Also, would recommend proper diet and exercise and proper sleep as well.


P. PED
Family Practice
Answered 10 hours ago
Supportive therapy, routine labs including anTSH, urine drug screen, trial of anti-anxiety med, outpatient counseling/therapy, early follow up with PCP


K. CLE
Psychiatry
Answered 19 hours ago
Often ADHD is co-morbid with anxiety and depression. Refer him to his PCP to restart ADHD Rx or a psychiatrist since many PCPs are not comfortable with adult ADHD and/or stimulant use. Do some motivational interviewing on the marijuana use and self-medicating. Get some basic lab work including thyroid to look for organic causes of depression.


O. KAT
Psychiatry
Answered 20 hours ago
More information needed about duration of patient chief complaint, severity, possible triggers, personal life and family situation and history. As well as sleep pattern, suicidal thoughts, current substance abuse.


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