Approach to epilepsy Quiz: Ace Your Exams
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A 31-year-old man is brought to the emergency department for evaluation of altered mental status. Witnesses report that he collapsed in a park and developed rhythmic stiffening and jerking movements of his whole body for 2 minutes. He appeared confused and combative when emergency services arrived and was lethargic in the ambulance. Temperature is 37°C (98.6°F), pulse is 100/min, respirations are 28/min, and blood pressure is 120/80 mmHg. Oxygen saturation is 97% on room air. The patient appears lethargic and cannot be fully aroused. He opens his eyes to painful stimuli. His nares are patent. There is an abrasion on the tongue. He has no nuchal rigidity. Cardiopulmonary and abdominal examination is within normal limits. While in the emergency department, he has an episode of convulsions with alternating stiffening and jerking of the body. Which of the following is the most appropriate next step in management?
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