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                Patient Name:            Mast. Heyan Nirwan                                        Location:            Patparganj
                Age / Sex:               8 year(s) 7 month(s) 23 day(s)/Male                       Date:                Friday, April 14, 2023 2:36 PM
                Maxld:                   EHPG.607293                                               Invoice No:          PGCS4722854
                Doctor Name:            Dr. Saurabh Chopra (Paed Neuro)                            Referred By: SELF
                Speciality              Pediatrics



                Allergy: No Known Allergy

                Chief Complaints and History of Present Illness
                2 episodes of seizures (1 episode in dec 19 and 1 in march 22) - within half hr of sleep onset start with gurgling sounds with
            staring with unresponsiveness (stiffening of limbs in 1 epiosde) lasted for approx 15-20 mins subsided with iv medications. syp
            valparin was given for 2 yrs after 1 st episode and then stopped by parents self. he had 1 more epiosde in which after provacative
            crying for 5-6 mins, then he lie down and then he had staring with unresponsives for 5 mins and spontaneously resolved with psot
            event drowsiness for 4-5 mins.
            Past History
            birth and development - normal

           Family History
           family history - maternal aunt had fever triggered seizures from age of 5 yrs to 10 yrs of age.

           Clinical Notes / Old Reports
           MRI brain with epilepsy - (dec 2019)- normal
          EEG- Right fronto polar central sharp and waves in a more or less steriotyped manner.

          Provisional Diagnosis
          focal self limited childhood epilepsy (suspected rolandic epilepsy)


      Medicine Advised
                                                                                                                                                              Route              Days
          Sno                             Medicine                                    Schedule                         Instruction
                                                                               TWICE IN A DAY                                                         ORAL                      60
      1           VALPARIN SYP                                                                             5 ML
                  (SODIUM VALPROATE 200 MG)
                                                                                                           4 SPRAYS IN EACH NOSTRIL                    ORAL                      60
                 INSED PLUS NASALSPRAY                                         sos
  2
                 (MIDAZOLAM 1.25 MG)                                                                       SOS IF SEIZURE MORE THAN 2-3
                                                                                                           MINS

                                                                               sos                         SAME AS INSED PLUS CAN BE                   INHALATION                 3
  3              MEDISTAT 1.25MG NASAL SPRAY
                                                                                                           USED INSTEAD OF IT.
                 (MIDAZOLAM 1.25 MG)
                                                                               ONCE A MONTH                5 ML ONCE A MONTH                            ORAL                      365
  4              ARACHITOL NANO 60K IU/5ML ORAL SOLN
                (CHOLECALCIFEROL 60000 I.U)

 Advice

advise for nocturnal eneuresis given sos refer to ped nephro if this continues. Sos it see Dr Swati Bhardawaj. - BLK

Next Follow Up:                   19/09/2023




 Max Super Speciality Hospital, Patparganj
(A Unit of Balaji Medical and Diagnostic Research Centre)                                                                            Dr. Saurabh Chopra (Paed Neuro)
(Balaji Medical and Diagnostic Research Centre                                                                                               State Registration No. : 50
registered under the Societies Registration Act XXI of 1860)
Regd. Office: 108 A, Indraprastha Extension, Patparganj, New Delhi - 110 092                                                                                                         1-2011-0068
For medical service queries or appointments, call: +91-11 4303 3333                                                                                                        MC-2347 Since Foo 4. 201
www.maxhealthcare.in

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