Peds Flashcards
What are the three critical elements of febrile seizures?
age at onset
temperature
seizure
age at onset:
usually between 6mo and 5 yrs (peak incidence at 18 mo)
What are the most common types of febrile seizures?
generalized seizures to both sides of the body
What are the main causes of fever in febrile seizures?
upper respiratory tract infection or pharyngitis- 38%
otitis media- 23%
Simple febrile seizure:
generalized tonic-clonic
<15min
with out recurrence within 24 hrs
Complex febrile seizures:
Focal
>15min
occur in clusters within 24 hrs
Which type of seizure is more common, simple or complex?
simple
T/F: vaccinations are associated with febrile seizures.
True
What is the treatment of choice for acute tonic-clonic febrile seizures?
IV lorazepam
The younger you are the greater chance of recurrence
fact
children with a history of febrile seizures have an increased risk , but still low, of epilepsy
fact
cerebral palsy
chronic, static impairment of muscle tone, strength, coordination or movements
nonprogressive and originates from cerebral insult
most common forms of cerebral palsry:
involve spastisity of the limbs
PE of cerebral palsy:
spasticity, hyperreflexia, ataxia and involuntary movements
microcephaly
What does the prognosis of cerebral palsy depend on?
IQ
severity of motor deficits
degree of capacity
