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A 19-year-old man is brought to the emergency department for evaluation of abnormal behavior. He was having lunch with his family when he noted a pungent smell of burning rubber followed by uncontrollable lip smacking. The patient became unresponsive for a minute after which his whole body started shaking, and he fell to the ground. The patient experienced urinary incontinence during the episode. Past medical history is significant for seizures in childhood precipitated by high fevers. The patient’s temperature is 37.0°C (98.6°F), pulse is 80/min, respirations are 20/min, and blood pressure is 135/85 mmHg. The patient appears confused and is unable to recall what happened. Physical examination shows bite marks on the tongue. Which of the following is the most likely diagnosis? Elimination tool Stroke Focal seizure with secondary generalization Febrile seizure Juvenile myoclonic epilepsy Simple focal seizure
SCIENCE
HEALTH SCIENCE
NURSING

 
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