29/F with polyarthritis and rashes
yesterday with complaints of loss of consciousness since 30 mins after alleged consumption of T.Clonazepam 2mg ( 2 tablets ) with hypoglycemia ( 56gm/dl) Also complaints of polyarthritis since 4 months with morning stiffness in joints and pigmentation all over her face and ears since 3 months. Seizures - 1st episode 4 years back (sudden tragic loss of sister being the trigger) used medication 2nd episode - after 6 months 3rd episode - after one year 4th episode - yesterday night ( lasted for 2 mins, post ictal confusion for 10 mins ) since April, 2022 she stopped taking T.PREDNISOLONE and T.HYDROXYCHLOROQUINE after discharge from hopsital ICU bed no 4 Day 1 Unit 6 S: patient is responding to commands C/o fever since 10 days C/o oral ulcers O: o/e patient is opening eyes on vocal commands Patient is able to understand and able to recognise their attenders Unable to speak making incoherent sounds BP - 100/70 mmhg PR - 110bpm CVS - S1S2+ RS BAE+ P/A soft Spo2 - 96% at R