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Grand Mal or Generalized Tonic–Clonic Seizure on Physical Exam

#Grand #Mal #Generalized #Tonic #Clonic #Seizure #grandmal #clinical
Clonic #Seizure #grandmal
Generalized Seizures and Pseudoseizures
Generalized seizures "are conceptualized as originating as some point within, and rapidly engaging,
Pseudoseizures #GrandMal
Hypokalaemia:

The gradual fall in serum potassium level is reflected electrocardiographically by the following features:

1. Gradual decrease
Hypokalaemia: The gradual ... Gradual decrease
Distinguishing Between Paralytic vs Mechanical Ileus
Paralytic Ileus
 - Medical history: Frequent ulcer or gallstone pains or
perforation) or gradual ... Onset: Always gradual
Dyspnea Evaluation Algorithm
Exercise Limitation:
 - None
 - Intermittent
 - Persistent - Gradual (months to years)
 -
- Persistent - Gradual
OLD CARTS - Mnemonic for Symptom Assessment
O - Onset – acute vs gradual
L - Location
D -
Onset – acute vs gradual
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
rate change is gradual ... wave contour is gradual
Dysphagia - Differential Diagnosis Algorithm
Oropharyngeal - Can't initiate swallow, Cough/nasal regurg when attempting to swallow
Esophageal
obstruction) - Gradual
Causes of Scrotal Mass - Differential Diagnosis Algorithm
Painful - Sudden Onset
 • Testicular Torsion
 • Torsion
Hernia Painful - Gradual
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Periodic breathing: Gradual