Tshi suntoiqe gtse ta hrhwtee ro not oyu nca gcriezneo so'erTsuuas igSn ro eshtCvo'ks Sgin ni indk of na luunasu en.taitspnero aialBlsyc uoy gte mulesc htwtsiec in eth igtetsn of ai.ycHclomape axmipyeoH efthurr caetrasbxee hte sgni nad anc asceu ctestihw adnrylom hgutruohto the dyob.
voseCkst'h iSng is aipntgp on hte fliaca nerev fo hte face taht citliisl a iaaflc lusmec a.msps
ssa'Tusureo iSgn si nweh uoy tup a odblo puerress uffc on a .tiantpe hiTs ueascs cells in het mar ot ont erceive lbood &-t;g oN 2O &g-t; No ievtxodia prnootalhpysohi g&t-; eerasedc in TAP lvaiaelba -;&tg +NK/+a pupm lsafi outtiwh TPA &t-;g cedansIre rlnictlrueala aN+ g;t-& dIncsreae +aC caebues of acesnerid CN2++/aa anxgeerch -;g&t cerseddea SUREM C2a+ &;-tg Folniex of .adhn
raousTsu'se gnSi is roem etsniives fro coaylciaeHpm, btu ohbt are i.gocadisnt hretO ipst in siht oqeuinst - lnnTgigi nraoud teh tmuho, nad,sh nda ftee nac eb etnraoh snig of mcaypeHl.aico othB deerzaengil cltnoicicno- or oflca rtmoo uzesseir acn ucroc hwit cilmcyap.ohae
waterlooSomething that could help. Gabapentin is a narrow spectrum anti-epileptic drug used to treat seizures. It blocks voltage gated Calcium channels. It also treats neuropathic pain (which this vignette hints at both).
My thinking for this question: the patient is having seizures so must be sodium abnormality. But then they mention the pins and needles and involuntary contractions, and this being the first seizure, it sounded less like a sodium issue and more so Calcium.
I think what hopsalong said makes a lot of sense. I think there is a pharm angle this question could have taken as well. +22020-03-01T22:39:28Z
submitted by hopsalong(23), 2019-07-24T03:53:55Z
Tshi suntoiqe gtse ta hrhwtee ro not oyu nca gcriezneo so'erTsuuas igSn ro eshtCvo'ks Sgin ni indk of na luunasu en.taitspnero aialBlsyc uoy gte mulesc htwtsiec in eth igtetsn of ai.ycHclomape axmipyeoH efthurr caetrasbxee hte sgni nad anc asceu ctestihw adnrylom hgutruohto the dyob.
voseCkst'h iSng is aipntgp on hte fliaca nerev fo hte face taht citliisl a iaaflc lusmec a.msps
ssa'Tusureo iSgn si nweh uoy tup a odblo puerress uffc on a .tiantpe hiTs ueascs cells in het mar ot ont erceive lbood &-t;g oN 2O &g-t; No ievtxodia prnootalhpysohi g&t-; eerasedc in TAP lvaiaelba -;&tg +NK/+a pupm lsafi outtiwh TPA &t-;g cedansIre rlnictlrueala aN+ g;t-& dIncsreae +aC caebues of acesnerid CN2++/aa anxgeerch -;g&t cerseddea SUREM C2a+ &;-tg Folniex of .adhn
raousTsu'se gnSi is roem etsniives fro coaylciaeHpm, btu ohbt are i.gocadisnt hretO ipst in siht oqeuinst - lnnTgigi nraoud teh tmuho, nad,sh nda ftee nac eb etnraoh snig of mcaypeHl.aico othB deerzaengil cltnoicicno- or oflca rtmoo uzesseir acn ucroc hwit cilmcyap.ohae