(continuation of Intern Berkowitz note of Sunday, 8/22/93)
Lungs CTA(Clear to Auscultation) Abd(omen) +B(owel)S(ounds) SNVD(?) Neuro A&OX3 (Alert and Oriented Non focal Imp(ression): S(tatus)P(ost) seizure + Elavil toxicity Neuro - awaiting neuro consult C(ardio)Vascular) - On telemetry (?) last night Tox(icology) - As A (Aspirin is negative), urine toxicology pending WBC - probably post ictal (?) /(Noah Berkowitz initials) 7089
8/22/93 Intern Add(ition)
H(ome #) 718-601-7208 Office 212-988-4800
/(Noah Berkowitz initials) 7089
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8/22/93 Neurology 23 year old recent college graduate in remission from Crohn's disease (had onset of anxiety - panic attacks several years ago - when Crohn's became quiescent). Uses Ativan/Valium intermittently - he says "none since May" - father says "still in use." Long history tremor (like his father). Started on Amitriptyline 2 weeks ago - as dose was raised to 60 mg qhs (ie, at bedtime) he had symptomatic orthostasis (i.e., hypotension). Yesterday, while standing from sitting position, he had a G(rand)M(al) seizure with facial abrasions as result.
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