Febrile Convulsions ****

Question 1

Define

What cannot be present to class it as a febrile convulsions?

Answer 1

Tonic-clonic seizure due to rapid increase in temp

Not due to CNS infections
Not in a child < 6 months

Question 2

Who does it affect?

What is important to ask about in a history?

Answer 2

6 months to 6 yrs old

FH as genetic link

Question 3

S + S:

What is meant by a simple febrile convulsion? How long does it tend to last? What does generalised mean?

What is meant by a complex febrile convulsions? How long does it tend to last? What could there be a sign of?

Answer 3

One off
<15 minutes
Generalised - 4 limbs

Recurs in 24 hours or same illness
> 15 minutes or is focal
Signs of underlying infection

Question 4

Management

What percentage recur?

How to manage if at home? - 5

What meds can be given?

When should an ambulance be called?

Answer 4

30% will happen again especially if younger

Unwrap 
Turn heat down 
Don't make them cold
Recovery position 
Remove dummy from mouth 

Paracetamol/ibuprofen

> 5 minutes

Question 5

Complications - 2

Answer 5

30% recur

Increased risk of epilepsy later on in life