A 12-year-old girl with a seizure disorder is brought to the emergency department 40 minutes after her aunt found her unconscious in her backyard. The aunt reports that the patient is visiting her for the summer. On arrival, the patient is awake but drowsy. She says she is embarrassed because she forgot to bring her anticonvulsant medication from home. She requests that you not call her mother "because she will yell and get angry." Temperature is 37.0°C (98.6°F), pulse is 74/min, respirations are 16/min, and blood pressure is 100/70 mm Hg. Physical examination shows no focal neurologic deficits. The patient requests that she receive one dose of carbamazepine now and that she be given a prescription to fill at the nearby pharmacy.
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