Dr. Azam Mohd (Internal Medicine) needs a second opinion on this medical case.
19/m who was brought in emergency in A/s.according to his brother they were sleeping in evening.when the brother after waking noticed that the pt was in A/s with frothing form ,mouth with bowel bladder signs of head injury present,no h/o poisioning present.he was intubated because of aspiration icu he had 1 episode of rt sided only the left leg showed seizure.also pt is not maintaining sat and BP. no h/o fever present.electrolytes are normal in abg.he is given inj epsilon,inj valproate and inj levetracetam.he only moves his eyes and nothing else.his eye movements are very peculiar.kindly comment on the DD and further workup and management.
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