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Seizure Type Partial seizures Simple partial Complex partial Generalized seizures Absence (petit mal) Key Features Involvement of only restricted part of brain; may become secondarily generalized Consciousness preserved Consciousness impaired Diffuse involvement of brain at onset Consciousness impaired briefly; patient often unaware of attacks May be clonic, tonic, or atonic components (ie, loss of postural tone); autonomic components (eg, enuresis); or accompanying automatisms Almost always begin in childhood and frequently cease by age 20 Atypical absences Myoclonic seizures Tonic-clonic (grand mal) May be more gradual onset and termination than typical absence Single or multiple myoclonic jerks Tonic phase: Sudden loss of consciousness, with rigidity and arrest of respiration, lasting < 1 minute Clonic phase: Jerking occurs, usually for < 2 3 minutes Flaccid coma: Variable duration Status epilepticus Repeated seizures without recovery between them; a fixed and enduring epileptic condition lasting 30 minutes May be accompanied by tongue biting, incontinence, or aspiration; commonly followed by postictal confusion variable in duration More marked changes in tone may occur May be manifested by focal motor, sensory, or autonomic symptoms Above symptoms may precede, accompany, or follow Other Associated Features

As always, the exact names and layout of the controls are up to you, but we ll show you how we did it Start by setting up your form Set the Text property of the form itself to Tax Calculator Then add two label controls (lblAmount and lblTax); these don t do anything except provide label text for the controls, so set their Text properties as you see in the figure Then add a TextBox control (txtAmount) Set the TextAlign property to Right, to make it a bit neater You can t really restrict what a user enters in a TextBox, so you ll need some exception handling later The control in this exercise that you re probably not familiar with is the numericUpDown control Although the amount can be any numeric value, the tax is strictly defined between 0 and 25, in increments of 025.

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is then followed by a stage of flaccid coma During the seizure, the tongue or lips may be bitten, urinary or fecal incontinence may occur, and the patient may be injured Immediately after the seizure, the patient may either recover consciousness, drift into sleep, have a further convulsion without recovery of consciousness between the attacks (status epilepticus), or after recovering consciousness have a further convulsion (serial seizures) In other cases, patients will behave in an abnormal fashion in the immediate postictal period, without subsequent awareness or memory of events (postepileptic automatism) Headache, disorientation, confusion, drowsiness, nausea, soreness of the muscles, or some combination of these symptoms commonly occurs postictally 5 Tonic, clonic, or atonic seizures Loss of consciousness may occur with either the tonic or clonic accompaniments described above, especially in children Atonic seizures (epileptic drop attacks) have also been described

during sleep) or in relation to external precipitants such as lack of sleep, missed meals, emotional stress, menstruation, alcohol ingestion (or alcohol withdrawal; see below), or use of certain drugs Fever and nonspecific infections may also precipitate seizures in known epileptics In a few patients, seizures are provoked by specific stimuli such as flashing lights or a flickering television set (photosensitive epilepsy), music, or reading Clinical examination between seizures shows no abnormality in patients with idiopathic epilepsy, but in the immediate postictal period, extensor plantar responses may be seen The presence of lateralized or focal signs postictally suggests that seizures may have a focal origin In patients with symptomatic epilepsy, the findings on examination will reflect the underlying cause

MRI is indicated for patients with focal neurologic symptoms or signs, focal seizures, or electroencephalographic findings of a focal disturbance; some clinicians routinely order imaging studies for all patients with new-onset seizure disorders Such studies should certainly be performed in patients with clinical evidence of a progressive disorder and in those presenting with new onset of seizures after the age of 20 years, because of the possibility of an underlying neoplasm A chest radiograph should also be obtained in such patients, since the lungs are a common site for primary or secondary neoplasms

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