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15 Cards in this Set
- Front
- Back
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1. Best management of simple Febrile seizure?
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a. Parenteral education
b. Injury prevention during seizures c. Fever control. |
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2. Expected Course of Simple Febrile Seizure?
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a. More seizures w/fever may occur, but he is likely to “grow out” the condition by 5-6 yrs of age.
b. He is likely to have no sequelae and is expected to have normal development. |
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3. Febrile Seizure?
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a. A seizure occurring in the absence of CNS infection w/an elevated temp in a child between the ages of 6 months and 6 yrs.
b. They are a uniquely pediatric entity. c. Seem to have a genetic basis. |
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4. Diagnosis of Febrile Seizure?
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a. Must be made only after considering CNS infection as the cause.
b. Simple vs. Complex Febrile seizures |
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5. Simple vs. Complex Febrile seizures?
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6. Simple Febrile seizures last < 15 minutes w/o focal or lateralizing signs or sequelae.
a. Simple Febrile Seizure: If more than 1 seizure occurs in a brief period, the total episode lasts less than 30 minutes. |
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6. Complex Febrile Seizure?
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a. Lasts >15 minutes and may have lateralizing signs
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8. Note: the timing of the febrile seizure in relation to the temperature elevation is variable.
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8. Note: the timing of the febrile seizure in relation to the temperature elevation is variable.
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9. Under what circumstances may LP be necessary?
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1. If neurologic exam is abnormal after the seizure
2. If the seizure occurred several days into the illness 3. If the child is unable to provide adequate feedback. |
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10. When are the Kernig and Brudzinski signs not reliable?
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a. In children <1 yr old.
b. Therefore, an LP is recommended for such pts w/fever and seizure (if under 1 yr). |
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11. What should occur before LP if a space-occupying lesion such as brain abscess, is a possibility?
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a. Contrast-enhanced brain imaging.
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12. Tx of febrile seizure that last longer than 5 minutes (usually self-limited)?
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a. Lorazepam or diazepam
b. Airway management is priority, as benzos occasionally cause respiratory depression. |
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13. Tx of ongoing seizures unresponsive to Lorazepam or diazepam?
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a. Fosphenytoin.
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14. Evaluation of simple febrile seizure?
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a. Does not need to be extensive.
b. EEG is not recommended unless focal findings were present during or after the seizure. |
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15. Prognosis for febrile seizures?
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a. Generally good.
b. Most children will not have neurologic or developmental consequences. c. Children <12 months at time of first febrile seizure have a 50-65% chance of having another febrile seizure. d. Older children have a 20-30% chance of recurrence. |
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16. complete
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16. complete
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