61 yr old male came with involuntary movements of bilateral upper and lower limbs

61 year old male ,tailor by occupation came to the old with C/O  involuntary movements of bilateral upper and lower limbs (tonic type )
2 episodes while talking to attender which lasted for 5 mins with uprolling of eye since yesterday night

History of present illness : 

Pt was apparently asymptomatic 2 days back while going to washroom with help of walker.pt had blurring of vision and fall on the floor (since then pt is unable to getup from supine position and walk with support )
No h/0 head injury ,no h/0 IOC
Later yesterday in the evening while talking to attenders pt had c/o involuntary movemnets of B/L upper and lower limbs (tonic type)with uprolling of eyes lasting for few mins and similar episodes 5 mins apart from the recent  
Episode 
 
No post ictal confusion or tongue bite 
Or involuntary micturition or frothing of saliva 
History of past illness : 

Pt had H/O right ureteric calculi with concentrated type underwent below knee amputation on Feb 2021 
Pt is K/pC/O htn on tab amalxy 500 mg od
K/C T2DM Intially used insulin now on inj biphasic insulin(5 
And tab.metformin and glimi PO/BD
Not a known case of asthma, epilepsy, CAD, CVA, Thyroid disorders.

Personal history:
He consumes 150 ml per day whisky for 30 years ,stopped 4 months ago ,non smoker 

Family history:
No significant history

Pt is conscious,coherent and cooperative 

General examination:
Patient is conscious 
Pallor +
Pedal edema(B/L) +
No icterus, clubbing, cyanosis, koilonychia, generalized lymphadenopathy

Vitals at the time of admission:
Temp- afebrile
PR - 100 BPM
BP - 140/80 mm Hg
Spo2 - 98% at Room air
Grbs: 592 
Rr : 16 cpm 
Temp : afebrile

Systemic examination:

Respiratory system:
BAE+, clear

CVS:
S1, S2 heard
No thrills, Murmurs

Per abdomen:
Soft, non tender
No palpable masses
 
Cns: 
All superficial and deep reflexes are normal

Provisional diagnosis : 
Diabetic ketoacidosis 
?generalized seizures (tonic type ) 
Acute infarct in bilateral occipital lobe with IC (NOF) of left femur

Chest xray 

X ray femur lateral view

X ray pelvis AP View :

X ray pelvis lateral view 

Ecg 
Investigations 
On 2/8/21

On 3/8/21

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