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most common cause of febrile seizure
URTI
When to give midazolam or diazepam
seizure> 5 mins
indications for LP in seizure
<12 mos old
incomplete immunization
clinically unwell
already on oral antibiotics
Dx: febrile patient suffers from 2 or more generalized seizures w/o regaining consciousness in between
febrile status epilepticus
Classic triad of meningitis
headache, photophobia, neck stiffness
Age group w greatest risk for bacterial meningitis
neonates
6-12 mos
common etiologic agents for bacterial meningitis, >2 months old
strep pneumonia
n. meningitidis
Hib (unimmunized)
common etiologic agents for bacterial meningitis, <2 months old
Group b strep
e. coli and other gram negatives
listeria monocytogenes