solved

Chief Complaint: Gigi, a 14-year-old female with episodes of “Blanking Out.”
Gigi Van-Tran is brought to your office because of episodic “blanking out” which began one month ago. The patient has episodes in which she abruptly stops all activity for about 10 seconds, followed by a rapid return to full consciousness. The patient’s eyes are open during the episodes, and she remains motionless with occasional “fumbling” hand movements.
After the episode, the patient resumes whatever activity she was previously engaged with no awareness that anything has occurred. She has 30 episodes per day. No convulsions.
Her past medical, physical, and developmental histories are unremarkable. Family history is pertinent for her father having similar episodes as a child. Her physical and neurological examination is within normal limits. Laboratory tests including a CBC, chemistries, and toxicology screen were normal.
Are there considerations regarding the oral contraceptive pill?
What workup is needed after a single seizure?

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