Introduction The patient is a 24 year old male. He was found on the floor by his friend who came to pick him up for work. On physical assessment, the young man was lying on the floor with his tight arms curled towards his chest. His head was arched back as well as his eyes rolled back with a fixed gaze. He had his mouth open and his facial muscles appeared to be pulled back tightly. Nothing else is known about this patient. This discussion will involve the physical assessment of the patient in order to come up with a differential diagnosis. Clinical Manifestation From this assessment, it is noticeably clear that there are two outstanding signs. The stiffness of muscles and unconsciousness are the key clinical symptoms that come into play in this case scenario. With these signs in mind, we can draw a working hypothesis which will serve as the starting point for our diagnosis. This will involve coming up with differential diagnosis based on the abovementioned symptoms. Differential Diagnosis Seizures The brain functions by discharging electrons which are relayed to different body parts through by the motors. Biochemical processes in the cells serve to excite the neurons which in charge generate electrical impulses causing the excitement. A person who is at a risk of getting seizures normally has his brain function altered, and this makes him/her vulnerable to overexcitement. An abnormal number of electrons in the brain, discharged in excess and suddenly, will cause an abrupt change to the motor sequence. This will result in a moment of unconsciousness and muscle rigidity. Seizures may be due to different causes and seizure activity; history and frequency of the case serve to distinguish the causes. Recurrent seizures are normally associated with epilepsy, a condition that indicates that the motor function has been altered, completely facilitating recurrence of seizures There are different types of seizures, generalised and focal or localized ones. Generalised seizures occur when both hemispheres of the brain discharge abnormal electrical pulses concurrently. The result is temporary loss of consciousness or a combination of motor function impairment and unconsciousness. The second form of seizure is a localized seizure also known as focal seizure. This affects a particular part of the brain, and the outcome or manifestation will normally show the affected brain functional area. These seizures may spread to the neighbouring cortical areas or to the whole cortex. In case this happens, a secondary Generalised seizure ensues. Rationale Disabilities that are linked to development are major causes of seizures. Seizures can also be caused by head injury, brain tumours, head trauma and other diseases. While onetime seizures can occur to anyone, recurrent unprovoked seizures may be a sign of epilepsy. The outcome of a seizure may be physical injuries or some other life threatening impacts. Therefore, it is important to minimize such effects by proper care and management. The only person who can order treatment is the medical consultant in the case management team. He does this after medically diagnosing and classifying the seizure. The clinical consultant may