Acute Paeds Presentations

Question 1

What are Febrile Convulsions?

Answer 1

Seizures due to a fever in an otherwise well child

Question 2

At what age to children experience Febrile convulsions?

Answer 2

6m - 5y

Question 3

What are some features of a febrile convulsion?

Answer 3

Brief, <5m
Tonic Clonic seizure
Usually early in a viral infection due to the rapid temperature rise

Question 4

What subtypes of febrile convulsion are there?

Answer 4

Simple
Vomplex
Febrile Status Epilepticus

Question 5

How does a simple febrile convulsion present?

Answer 5

<15mins
Generalised
No recurrence within 24h
Complete recovery within 1h

Question 6

How does a complex febrile convulsion present?

Answer 6

15-30 mins
Focal seizure
May have repeat seizures within 24h

Question 7

How does Febrile Status Epilepticus present?

Answer 7

Seizure greater than 30 mins duration

Question 8

What is the recommended management for a first incidence of Febrile Convlusion?

Answer 8

Referral to paeds

Question 9

What is the risk of a child developing another febrile convulsion after the first episode?

Answer 9

1 in 3

Question 10

What are risk facotrs for developing recurrent febrile seizures?

Answer 10

Age <18m
Fever <39 degrees
Shorter duration of fever before seizures
FHx

Question 11

What information should parents of a child presenting with a first episode of febrile seizure be given?

Answer 11

If it reoccurs, phone for an ambulance if seizure lasts > 5 mins

Question 12

Which condition may develop as a result of a febrile seizure?

Answer 12

Epilepsy