A 34-year-old male is brought in by his father. Patient has Down syndrome and is

A 34-year-old male is brought in by his father. Patient has Down syndrome and is nonverbal, so history is taken from the father. HPI: Patient has had a series of seizures over the past year. They started as a “zone out” and have evolved into full convulsions. There have been no modifying factors and no identified triggers. Dad states that physical exam and diagnostics may be difficult as the patient becomes combative when touched. GENERAL: Ht 5’1, Wt 218 lbs, unable to obtain temp or bp Unable to perform additional exam as the patient is agitated. Diagnostic options are limited. Discussed options. Dad opted to try EEG. Dx: Seizures, mosaicism Trisomy 21 with profound intellectual disabilities

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