Problem
Ellie, a 12-year-old girl was admitted to your facility in the company of her friend, Julie and her friend's mother, Molly, whom she spent the weekend with for a sleepover. Ellie has a background of epilepsy and is known to the neurological team of your hospital. During her stay at her friend's place, she did not take her usual medications for two days. She told Molly that her seizures have been well under control, and she had stopped taking her regular medications for a week now. She was brought in an unconscious state via the ambulance. Molly and Julie stated that Ellie has been having seizures without recovery and appears heavily confused and disoriented. She stated that the interval between the seizures was less than 3 minutes and Ellie had remained unresponsive after the last seizure. They reported bowel opening and passing of urine in the first seizure episode and stated Ellie's parents were on their way to the hospital. They are both terrified and concerned about Ellie's wellbeing. On examination, the following observations were recorded: Temperature = 37 degrees, HR= 110 Oxygen saturation 85%, RR= 32 rapid and shallow, BP= 100/65mmHg, Capillary refill <2 seconds. Weight recorded 45kg. A diagnosis of convulsive status epilepticus was made based on the generalized non-resolving seizures. Ellie has a past medical history of epilepsy, which has been under control for the past 18 months with anti-epileptic medications.
Include the following: a definition of presenting condition, the prevalence of the condition, an overview of the case study and give a clear direction to your essay (signpost).
In this section, describe the pathophysiology of the presenting diagnosis (es) (diagnosis [es] for this admission and management) and include the etiology of the relatable presenting symptoms