Patient presents with a history of generalized tonic-clonic seizures, consistent with a diagnosis of generalized convulsive epilepsy.  Onset of seizures was reported as [age of onset], with a frequency of approximately [frequency of seizures, e.g., two per month].  Seizure semiology includes [detailed description of seizure activity, e.g.,  tonic stiffening followed by clonic jerking movements, loss of consciousness, postictal confusion lasting approximately 30 minutes].  Patient denies any identifiable seizure aura.  Family history is negative for epilepsy.  Electroencephalogram (EEG) findings revealed [EEG findings, e.g., generalized epileptiform discharges].  Magnetic resonance imaging (MRI) of the brain was [MRI findings, e.g., normal or describe abnormalities].  Differential diagnoses considered included syncope, psychogenic nonepileptic seizures (PNES), and metabolic disturbances.  Based on clinical presentation, EEG findings, and exclusion of other potential etiologies, the diagnosis of generalized convulsive epilepsy is confirmed.  Treatment plan includes initiation of [anti-epileptic drug, e.g., valproic acid] at a dosage of [dosage] with titration based on seizure control and tolerability.  Patient education provided regarding medication side effects, seizure safety precautions, driving restrictions, and the importance of medication adherence.  Referral to neurology for ongoing management and further evaluation.  ICD-10 code G40.4 (Generalized epilepsy with tonic-clonic seizures) assigned.  Patient will follow up in [timeframe, e.g., four weeks] to assess treatment efficacy and address any concerns.