Charles after having seizure at home

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Question

You have been called to the ER to evaluate Margie, a 66 year old female. She was brought in by her husband, Charles after having a seizure at home. The history is per Margie and Charles. About 6-8 hours prior to her admission to the ER, while at home, Margie complained of being more anxious than usual, sweating profusely, nausea, tremors of her hands, sensitivity to light, not being able to sit down and relax, and "her face jerking." According to Charles, "she passed out and had a fit." He described her "jerking and foaming at the mouth", he didn't check to see how long this lasted. She was confused when she woke up. This happened about 2 hours before her admission to the ER. Margie is very agitated and tells you, "I think I'm going to explode." She has a many year history of anxiety. Charles has her bottle of clonazepam 2 mgm, she was prescribed 1 tablet twice a day PRN, but she admits to taking it 4-5 times a day. She tells you "My anxiety is really bad." She took her last dose between 24-36 hours ago. Her previous provider retired and she saw a new provider.

Reference no: EM133765485

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