paraphrase, E81 made a quick head to toe assessment and took vitals that can be found in the records. PT wasn't talkative and looked confused. Pt's mom states he usually have a headache after a seizure which she was surprised he didn't have. There was a small wound on his forehead with no active bleeding and PT reported no pain. PT was complaining of a back pain, upon inspecting the back, lower mid back was hurting on touch. PT pupil were big and dilated