Today’s case: Tonic-clonic seizure or also known as grand mal #seizure is characterized by bilateral jerking movements of both legs and arms. The tonic phase comes first. All the muscles stiffen. Air being forced past the vocal cords causes a cry or groan. The #patient loses consciousness. A patient may bite their tongue or inside of their cheek. If this happens , saliva may look a bit bloody. After the tonic phase comes the clonic phase. The arms and usually the legs begin to jerk rapidly and rhythmically , bending and relaxing at the elbows , hips , and knees. After a few minutes , the jerking slows and stops. The person’s face may look dusky or a bit blue if they are having trouble breathing or the seizure lasts too long. The person may lose control of their bladder or bowel as the body