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#######################INFORMATION FOR CANDIDATE You have been asked as an HMO
in the delivery suite to see a 25 year old primigravida, Mrs. Monica King,
because she seems to have had a convulsion after the third stage of a normal
vaginal delivery of a healthy 3500 g boy. Her husband, Graeme, is present and is
obviously very upset and concerned.The pregnancy was uncomplicated and the
patient has no significant PHx at all.YOUR TASK IS TO:E xamine the patient,
Monica (you will have to ask the examiner for the findings!) Arrange for
appropriate investigationsE xplain the diagnosis and management plan to the
husband, Graeme HOPC: You have been asked as an HMO in the delivery suite to see
a 25 year old primigravida, Mrs. Monica King, because she seems to have had a
convulsion after the third stage of a normal vaginal delivery of a healthy 3500
g boy. She actually became quite restless, had some muscle twitching and
spasmodic respirations and then went into a generalized tonic-clonic seizure and
became unconscious. Her husband, Graeme, is present and is obviously very upset
and concerned.The pregnancy was uncomplicated and the patient has no significant
PHx at all.PHx. + FHx.: unremarkableSHx: Married primary school teacher, no
problems, non smoker, non drinker, NKA, no medication.E XAMINATION: Monica
delivered a healthy 3500 g boy after a normal pregnancy on term and the placenta
and membranes have been delivered intact. The patient is now post-ictal
following a 2 minutes tonic-clinic seizure.CALL FOR HE L;yG#,67#N7#M##L# 67#$o,N##vM@aGB#X#U

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