Evaluation of the first seizure patient: Key points in the history and physical examination  Tomasz A. Nowacki, Jeffrey D. Jirsch  Seizure - European Journal of Epilepsy  Volume 49, Pages 54-63 (July 2017) DOI: 10.1016/j.seizure.2016.12.002 Copyright © 2016 Terms and Conditions

Fig. 1 Multiple right-sided rib fractures with complicating hydropneumothorax in a 55year old man seen by one of the authors (TN) who presented to hospital after two alcohol-withdrawal seizures. The injuries were not identified until the third post-admission day. Unable to recall any history of trauma, these injuries were likely as a result of his seizures. He required open reduction and internal fixation of the humerus, and placement of a chest tube. Seizure - European Journal of Epilepsy 2017 49, 54-63DOI: (10.1016/j.seizure.2016.12.002) Copyright © 2016 Terms and Conditions