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
Responses from other professionals.
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.
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
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.
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.
LOGIN TO REVIEW AND RESPOND TO PATIENT CASES OR CONTRIBUTE A CASE
TO START INTERACTING WITH YOUR PEERS, JOIN THE HEALTHCASTS COMMUNITY
ConsensusMD: Save time while improving patient outcomes in real time
Read the story
WHAT OUR MEMBERS LOVE ABOUT HEALTHCASTS
Educate yourself while improving patient health
Be a part of the Community Consensus to help improve diagnostic outcomes
Control how you stay informed: post questions, review unique cases, answer treatment quizzes, watch video interviews, read informed blog posts.
Connect with colleagues in your specialty, find consults, give and receive answers. Learn from the experts in your field.
UNIQUE MEMBER BENEFITS
Membership unlocks access to bonus content, including Community Consensus reports and Experts On Call interviews, exclusively shared with the Healthcasts Community.
Community Consensus reports summarize all the Consults for select patient cases. Analyses reveal the consensus opinion and highlight key points. Expert perspectives from the leaders in the field provide deeper insight and impact to daily practice.
Experts On Call articles and short videos are contributed by your peers to help you discover what's new and exciting in others' practices, programs and institutions.
WHAT PHYSICIANS ARE SAYING