CLIPP 19: 16 month male with seizures Flashcards
How can acetaminophen be given to a child who refuses PO?
Suppository
Are febrile seizures genetic?
Yes, unclear how though
Differential for a seizure + fever?
Febrile Seizure CNS infection Head injury/post-trauma seizure Ingestion/poisoning Idiopathic seizure/epilepsy
What is the most common cause of a serious bacterial illness in children?
UTI
How might a UTI present in a young child?
UTI commonly presents as fever without a focus on physical examination and a relatively unremarkable review of systems.
Often accompanied by fussiness and decreased appetite
What is more common: simple or complex febrile seizure?
Simple febrile seizures are more common than complex febrile seizures
What is the time difference between a simple and complex febrile seizure?
> 15 minutes –> complex febrile seizure
How many times in a 24 hour period does a complex febrile seizure occur?
> 1
Are complex febrile seizures focal or generalized?
Focal
What is the risk of recurrence if a child has his first febrile seizure before age 12 months
the recurrence risk for a second febrile seizure is about 50%
What is the risk of recurrence f a child has his first febrile seizure after age 12 months?
the recurrence risk is about 30%
What is the risk of developing epilepsy in a child with a febrile seizure
In a child who has a febrile seizure, the risk of developing epilepsy is slightly increased above the 0.5-1% baseline population risk
If a child is having a seizure, after how long should you call 911?
5 minutes
What are other names for Roseola?
Roseola infantum is also known as exanthem subitum, or sixth disease
What age group is most susceptible to roseloa?
<2
What causes roseola?
Human herpesvirus-6 (HHV-6) is an important etiologic agent of roseola. About 30 percent of children with primary HHV-6 infection will develop roseola
What is the time frame of rash and fever in roseola?
A high fever (38.5 to 40.5 C) for 3-5 days in a typically fairly well-appearing child, followed by abrupt resolution of fever and development of a maculopapular rash
How might a shigella infection cause a seizure?
Shigella sonnei causes bloody diarrhea and WBCs in the stool on Wright stain. Rarely, children infected with Shigella can suffer from seizures due to neurotoxin release
age range for febrile seizures?
These are relatively common occurrences in Charlie’s age range (6 months to 5 years), and the first priority would be to identify the source of fever and treat it.
