Pathophysiology of the Nervous System

Select one of the cases below.
The case study will provide you with an opportunity to discuss:
• Key clinical signs of the case
• Differential diagnoses and their rationales
• The pathophysiology of those diagnoses
• Current management practices
• A critique on the evidence supporting the management practices

Case Scenario 1
You are called to the scene of a motor vehicle accident at 11:00 pm. The driver is a 25 year old female. She has been removed from the car by the witnesses before your arrival and she is lying down on the side of the road. Witnesses state she has not lost consciousness during their presence. You approach the patient and she responds and appears alert, but confused with memory loss of the accident.
While assessing the patient, her partner and family arrive on scene and express that she has been out every night over the last fortnight and has become increasingly withdraw.
After 10 minutes of family arrival she starts losing her consciousness, becomes unresponsiveness and in a minute she stops breathing.
Case Scenario 2
You have been called to a shopping centre at 10:30 am for a 62 year old male who has collapsed. Upon you arrival, he is sitting on the ground, he is awake but drowsy and disoriented. He has difficulty talking, however he can remember that he collapsed after feeling extremely dizzy.
He is with his daughter. She tells you that her father is living alone in a double story building. He has had a falling episode from stairs 8 months ago without any major injury.
He is insisting on going home regardless of your offering help to take him to the hospital.
His eyes suddenly move upward and in a few seconds he starts a seizure.

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