Patient Details Name: Abhilash Age: 8 years Sex: Male Address: Gadag Informant: Grandmother (reliable) DOA: 16/05/26 DOE: 19/05/26 --- Chief Complaints (C/O) Involuntary movements of both upper limbs and lower limbs × 4 days --- History of Presenting Illness (HOPI) Patient was apparently alright 4 days back, then developed: Episodes of uprolling of eyes Associated with involuntary movements of both upper and lower limbs Episodes were: Sudden in onset Lasted around 5 minutes Occurred multiple times over 2 hours Which brought the child to hospital During the episode: No loss of consciousness Sweating present Uprolling of eyes Tonic-clonic movements of all 4 limbs Frothing from mouth Clenching of teeth --- Negative History (No history of) Fever → to rule out febrile seizures Head trauma → traumatic seizures Vomiting/headache → raised ICP Ear discharge → intracranial spread Focal weakness Drug intake Developmental delay Birth asphyxia TB Head injury --- Past History Similar complaints/seizures present Hospitalized 4 years ago Received medications --- Antenatal / Birth History Normal vaginal delivery Full-term baby Birth weight: 2.9 kg --- Postnatal History Cried immediately after birth --- Developmental History Developmental milestones achieved --- Immunization History Immunized as per NIS / age --- Family History No similar complaints in family --- General Examination (GPE) Child conscious, alert Built: moderately built / nourished Vitals Pulse rate: 86 bpm Respiratory rate: ~22/min Temperature: 97.5°F Pallor/Icterus/Cyanosis/Clubbing/Lymphadenopathy/Edema absent --- Anthropometry Parameter Patient Expected Height 116 cm 128 cm Weight 18 kg 25 kg Chest circumference 56 cm 60.6 cm Head circumference 51 cm 52 cm Upper segment : Lower segment 59/57 MUAC 14 cm 16.18 cm For the above patient of whatever case of paediatrics it is. Give me the best 100 on 100 case format of final year MBBS level for the clinical postings with the appropriate information in it with respect to the diagnosis and the description I have provided. .

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