Clinicopathological Conference

We would like to invite you to the Department of Medicine CPC:

Date               :           25 November 2015

Time              :           8.00 am

Venue            :           Auditorium, Kompleks Pendidikan Perubatan Canselor Tuanku Ja’afar, UKMMC

DEPARTMENT OF MEDICINE

FACULTY OF MEDICINE

UNIVERSITI KEBANGSAAN MALAYSIA MEDICAL CENTRE

KUALA LUMPUR

25TH NOVEMBER 2015

 

Chairperson         : Prof Datin Dr Norlinah Mohamed Ibrahim

Presenters           : Dr Wan Asyraf Wan Zaidi (Department of Medicine)

                                   Dr Law Zhe Kang (Department of Medicine)

                                   Dr.Kamal Bashar Abu Bakar  (Department of Anaesthesiology )

                                   Prof Dr Maniam Thambu (Department of Psychiatry)

 

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Case Summary

“When the jerks won’t stop…”

Madam W, A 42-year-old lady presented with altered behavior for 4 days. At the ED, she was noticed to have jerky movement of of right lower limb for 2 minutes. She was unresponsive during the episode. She had another 2 episodes which lasted 30 mintues in total. On examination, GCS E4V4M6, BP 152/90 mmHg, PR: 112/min, T-39.2C RR 20/min. No focal neurological deficit.

Hb 14.1 g/dL, WCC 11.1, Platelet 190,000; urea 8.2 mmol/L, creatinine 64 μmol/L, Na 146 mmol/L, K 4.1 mmol/L.

We aim to discuss the approach towards investigating and management of this patient