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QQ-3111 Mr Craig Hemsworth - Nursing – Jyothi Sridhar – Tonic Clonic Seizure


Dr Ceawlin Jones

General Practioner

Riverside Clinic


23 August 2019

Dear Doctor Jones,

Re: Mr Craig Hemsworth, aged 52

Mr Hemsworth, who has been diagnosed with tonic-clonic seizures. He requires further appraisal and appropriate management following her discharge today.

On 23rd August 2019, Mr Hemsworth had experienced epileptic symptoms. Consequently, shifted to Emergency Department. On examination, bleeding from the tongue, bruising from the left knee and the left arm and disorientation was observed. Subdural hematoma on the right occipital region was confirmed with computer tomography. Focal epileptic variants were revealed through an electroencephalogram. Hence, transferred to the intensive care unit and neurological consultation was provided.

Mr Hemsworth's condition was managed with the injection of mannitol 20mg, phenytoin 10mg and ceftriaxone 1.5 mg twice daily, tablet clopilet 75mg and Amlodipine 5mg respectively, were prescribed.

Subsequently, Mr Hemswoth has made good progress. Additionally, rest to both eyes has been advised by an ophthalmologist. Apprehension regarding recurrence of seizures was reported. Thus, health education was provided to Mr and Mrs Hemsworth.

Upon discharge, the tablet Phenytoin 10mg need to be continued. Anticonvulsant therapy after two weeks needs to be followed up. Abstaining from driving and strenuous activities are imperative. Not only diet but also regular sleep is vital.

Based on the aforementioned circumstances further examination and treatment would be profoundly beneficial. If you require further information, please do not hesitate to contact me.

Yours sincerely,

Ward Nurse


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