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1 Introduction 1.1 Aim and scope of the guideline 1.2 Background Diagnosing epilepsy in adults 2.1 Introduction 2.2 Classification of epileptic seizures 2.3 Classification of epilepsy syndromes 2.4 Differential diagnosis Investigating epilepsy 3.1 EEG 3.2 Brain imaging 3.3 Other investigations 3.4 Recommendations When to start treatment 4.1 Introduction 4.2 Seizure recurrence rates 4.3 Recommendations Choice of first drug 5.1 Partial seizures 5.2 Generalised seizures 5.3 Unclassified seizures 5.4 Choice of antiepileptic drug in young women 5.5 Serum level monitoring Failed monotherapy 6.1 Introduction 6.2 Partial seizures 6.3 Generalised seizures 6.4 Epilepsy surgery 1.
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Chair used by the nurses during the frequent feedings. "Hang on while I get a wheelchair and call your doctor." Beth nodded, suddenly feeling uncomfortably warm. She longed to rip off the cotton greens she wore. In minutes Julie returned, accompanied by a nurse from the regular nursery next door. "Peg said she'd cover for us while I take you over to Dr. Morgan's. You're in luck. Even though it's five o'clock, when I said the magic name, Beth Jones, they said he'd wait for you." She set the brakes on the wheelchair, then went over to Beth. Even with Julie's help, Beth struggled to get out of the rocker. Leaning on Julie, she took a step, then sank into the wheelchair, her shaky arms supporting her until her bottom settled in. She sighed. "I've always wondered what it felt like to be at the other end of this, " she murmured. "Hang on. You're in for the ride of your life, " Julie said, pushing off. Despite her words of warning, Julie negotiated the hospital corridors in a speedy, though careful manner. Beth felt her belly tighten and checked her watch. No more than five minutes since the last one. A short while later they reached the physician offices at the far end of the building. The staff ushered them into an exam room as soon as they arrived. Julie helped Beth out of the chair and squeezed her hand. "You're in good.
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Usually generalised occasionally localised ; Tubular Cylindrical vs. Cystic Saccular Mechanisms: ? Necrotising infection ? Bronchial obstruction ? Traction Clinical Features: Symptoms: ? Cough usually productive of purulent sputum + ; ? ? Haemoptysis ? ? Shortness of breath if extensive & severe disease ; ? ? Wheeze Special Investigations: To diagnose: 1. CXR 2. High Resolution Computer Tomography HRCT ; To assess: 3. Sputum M, C & S; AFBs & TB culture ; 4. Pulmonary Function tests 5. ? Blood gases To establish cause: 6. Saccharine Test 7. Sweat Test 8. Gamma globulins 9. Aspergillus tests sputum culture, skin pricks, IgE-RAST, IgG precipitins ; 10. Sinus XRs Treatment: MEDICAL: ? Antibiotics PRN or cyclical ; ? Physiotherapy & postural drainage ? Bronchodilators if obstruction ; SURGICAL: Only if all of the following: ? localised disease ? good lung function & general condition ? significant symptoms, because diflucan effectiveness.
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