A Case Question?

[daysinnnc]

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A patient was perfectly fine and laughing at a joke and all of a sudden could not breath and started salivating from mouth and after he became normal and asked he said he did not know what was going on...
(Patient currently has seasonal allergy and taking Allegra (120 mg) and Robitussin)

What could this be a symptom of ??😕

 

[SomeDoc]

A patient was perfectly fine and laughing at a joke and all of a sudden could not breath and started salivating from mouth and after he became normal and asked he said he did not know what was going on...
(Patient currently has seasonal allergy and taking Allegra (120 mg) and Robitussin)

What could this be a symptom of ??😕

The patient could be suffering from a partial complex seizure affecting one hemisphere of the homunculus representation of the trunk and face on the motor cortex, leading to hemi-diaphragmmatic and facial paralysis.

Another possibility is a generalized tonic or atonic seizure- more details about the specificity of the signs would be needed to make a specific Dx.

I'm not aware of any link w/ the seizure and 1st and 2nd generation antihistamines.

 

[Blesbok]

Obstruction of the airways by giant snot ball.

 

[alphaholic06]

A sign that you should go see your doctor as SDN is not the place to seek medical advice.

 

[cpants]

Sounds like an absence seizure. Could be a TIA, too.

 

[TexasTriathlete]

A patient was perfectly fine and laughing at a joke and all of a sudden could not breath and started salivating from mouth and after he became normal and asked he said he did not know what was going on...
(Patient currently has seasonal allergy and taking Allegra (120 mg) and Robitussin)

What could this be a symptom of ??😕

Maybe the joke was just really funny.

 

[Rendar5]

probably a seizure. doesn't sound like absence. Is he a patient during the incident or after the incident? lol