Board and beyond Videos 2021

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A 21-year-old man is brought to the emergency department by his mother after she found him violently shaking on the kitchen floor of her home. The patient urinated on himself and bit his tongue during the incident. He has a past medical history of posttraumatic epilepsy and is noncompliant with his antiseizure medications. In the hospital, he has several brief, back-to-back generalized tonic-clonic seizures and never fully regains consciousness between episodes. Intravenous lorazepam 2 mg is administered, and the seizures stop. Intravenous infusion of another drug is started simultaneously to prevent seizure recurrence.

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