25. Febrile Convulsions Flashcards
1
Q
Outline the pathophysiology of a febrile convulsion
A
Single tonic-clonic symmetrical generalised seizure lasting <15m, occurring as temp rises rapidly in febrile illness, typically in a normal developing child
2
Q
What are the causes of febrile convulsions
A
- meningo-encephalitis
- CNS lesion
- epilepsy
- trauma
- hypoglycaemia
- hypoCa
- hypoMg
3
Q
How does a febrile convulsion present?
A
- Fever
- Neck stiffness - think meningitis
- Focal CNS signs or CNS abnormality
- Breathing diff
- Muscle contraction
- Involuntary moaning, crying, and/or passing of urine
4
Q
Outline how a febrile convulsion should be Ix?
A
Bloods = FBC, U+Es, Ca, glucose
MSU
CXR
ENT swabs
5
Q
Describe the Mx of febrile convulsions
A
Recovery position
> 5m: lorazepam IV, buccal midazolam, PR diazepam
Paracetamol syrup
If >10m treat as status epilepticus
6
Q
What are the possible complications of a febrile seizure?
A
Oral injury
Long term seizures
