MDM //

presents with first time seizure. The patient is afebrile, no signs of meningitis or encephalitis as etiology of seizure. No hx of etoh withdrawal and does not appear to be in active withdrawal at this time. BMP normal, not a metabolic etiology. No history to suggest drug abuse. No signs of trauma or basilar skull fracture to suggest subarachnoid hemorrhage or intracranial hemorrhage as cause. Doubt stroke, patient has a normal neurologic exam. EKG normal, no signs of arrhythmia to suggest cardiac cause. Doubt syncope based on history and exam. CT brain normal, no signs of mass or hemorrhage. On reassessment, the patient continues to have a normal neurologic exam and is tolerating oral intake. They are not post-ictal, no seizure activity in the emergency department. XXX A DMV incident form was submitted, and the patient will not drive until medically cleared by a neurologist. The patient is a good candidate for outpatient care. The patient is well appearing and vital signs are stable. The patient was given instructions to follow up with their primary care doctor in 1-2 days. I explained the findings and plan to the patient', who expressed verbal understanding and agreed with plan for discharge and follow up. The patient was given after care instructions and welcomed to return to the ED for any new or worsening symptoms.



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