Reports having witnessed convulsion

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Reference no: EM133815698

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Jacob Preston (pronouns he/him/his), 22 years old, reports having a witnessed convulsion lasting approximately 2 minutes. Witnesses reported that his eyes were open, limbs were jerking, he bit his tongue, and he was disoriented and fatigued after the event. Jacob reports no prior episodes of convulsions but mentions "daydreaming" a lot over the past month, where he "zones out" for several seconds. Denies substance use, recent infections, or other medical problems, and states he has been under significant stress with school. No family history of neurological disorders. Vital signs include temperature: 98.6 °F (37 °C), heart rate: 88 bpm, respiratory rate: 16/min, blood pressure: 120/78 mmHg, and oxygen saturation: 98% on room air. No known drug allergies and no current medications. Which of the following is the most likely diagnosis based on Jacob's presentation? Acute substance withdrawal Primary generalized epilepsy Psychogenic nonepileptic seizures Hypoglycemia-induced convulsions.

Reference no: EM133815698

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