Received Jul 30, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| MENB | MENINGOCOCCAL B (BEXSERO) | NOVARTIS VACCINES AND DIAGNOSTICS | UNK | 5XA2J | IM |
| MNQ | MENINGOCOCCAL CONJUGATE (MENQUADFI) | SANOFI PASTEUR | UNK | U8508AA | IM |
16 y.o. male who presents for evaluation of a possible seizure. Earlier today around 13:30, he attended a well check visit where he received required Meningitis A and optional Meningitis B vaccinations, one in each arm. After returning home around 16:00, his mother laid down and soon heard moaning and banging noises from the living room. She went into the living room where he was to find him lying on his side, foaming at the mouth, with his eyes rolled back and biting his lip. He was not violently shaking, though the banging she heard could have been from shaking. He experienced incontinence during the episode as well as emesis following the event. The episode lasted approximately 2-3 minutes. The patient recalls eve
No known illness
ASD, Mood disorder
oxcarbazepine 150mg once daiyl
NKDA
CBC W/ PLAT AUTOMATED DIFF CMP CT/EKG CBC W/ PLAT AUTOMATED DIFF - Abnormal WBC 7.00 RBC 4.63 Hemoglobin 14.9 Hematocrit 42.8 MCV 92.4 MCH 32.3 MCHC 34.8 RDW MPV 7.9 Platelets 289 Neutrophils Relative 58.1 Lymphocytes Relative 34.3 Monocytes Relative 6.0 Eosinophils Relative 0.9 Basophils Relative 0.70 Neutrophils Absolute 4.1 Lymphocytes Absolute 2.4 Monocytes Absolute 0.4 Eosinophils Absolute 0.10 Basophils Absolute 0.10 BASIC METABOLIC PROFILE - Abnormal Sodium 141 Potassium 4.1 Chloride 234 CO2 24 Glucose 88 BUN 10 Creatinine 0.90 Calcium 9.8 Anion Gap 17 BUN/Creatinine Ratio LACTIC ACID PLASMA - Abnormal Lactate 3.40 LACTIC ACID PLASMA The following imaging studies were ordered and reviewed by me: CT Head w/o - Seizure Report Date: 7/21/2025 History: Seizure Technique: Multidetector CT imaging of the brain was performed without contrast. Axial images are displayed in addition to coronally and sagittally reformatted images. One or more of the following measures were utilized: radiation dose reduced in accordance with principle (as low as reasonably achievable). Automatic exposure control adjustment of the according to patient size, reconstruction. Comparison: None. Findings: The cortex is normal in appearance. There is no evidence of hydrocephalus. There is no evidence of intracranial hemorrhage. Grey white differentiation is well maintained with no evidence of acute large vessel territorial hemispheric infarction. There is no evidence of mass, mass effect, or midline shift. No intracranial fluid collections are demonstrated. The visualized paranasal sinuses are predominantly clear. The visualized mastoid sinuses are predominantly clear. The calvarium is normal in appearance. No evidence of acute intracranial process. Electronically Signed By: 7/21/2025 EKG Screening Test Date: 7/21/2025 Sinus tachycardia. Otherwise normal ECG. No previous ECGs available.