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What is a seizure؟

Evaluation and management of the first seizure in adults   ●Goals of evaluation The primary objectives of the medical evaluation of the first seizure are to establish whether the event was a seizure, and if so, whether it resulted from a correctable systemic process or whether the patient is at risk for developing further unprovoked […]
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Neurologic Examination: Reflexes

REFLEX EXAMINATION Relaxation is critical during the reflex examination. Tendon reflexes are difficult to elicit when patients tense the muscles being tested. It is helpful to distract patients by engaging them in conversation while testing their reflexes. Tendon reflexes — The biceps, triceps, brachioradialis, knee (patellar), and ankle (Achilles) reflexes are the ones commonly tested. The joint […]
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Having a lumbar puncture

Indications and contraindications ●Indications In children, primary emergency indications for lumbar puncture (LP) consist of the diagnosis of central nervous system (CNS) infection or, less commonly, subarachnoid hemorrhage. LP is also used for diagnostic testing (eg, suspicion for idiopathic intracranial hypertension, Guillain-Barré, juvenile multiple sclerosis, or metabolic disease), administration of intrathecal medications, and spinal anesthesia.  […]
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