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GENERAL MEDICINE CASE HISTORY 3 𝟳𝟴. 𝗦𝗵𝗮𝗹𝗶𝗻𝗶  𝟲𝟱 . 𝗦𝘂𝘀𝗵𝗺𝗶𝘁𝗵𝗮 This is an online e-log book to discuss our patient's de-identified health data shared after taking his/her/guardian's informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This is a case of a 32 year male patient brought to casualty with h/o 1 episode of GTCS, Associated with loss of consciousness, involuntary micturation, episodes lasting for 10 min, associated with post ictal confusion for 20min , no h/o headache, vomiting, fever.  History of  Present illness: H/o burning micturation, h/o B/L ureteric calculi, right renal calculi.  Past surgical history of right PCNL URSL C DJ stenting in nov 2020,2 sessions HD Done at that time in view of post renal AKI and discharged on medical treatment.  His