A 15-month-old child is brought to the Emergency Department after having a generalized tonic-clonic seizure that lasted approximately 5 minutes. The parents say that the child had... A 15-month-old child is brought to the Emergency Department after having a generalized tonic-clonic seizure that lasted approximately 5 minutes. The parents say that the child had been previously well but developed cough and rhinorrhea earlier that day with a temperature of 39.2° C. Which of the following is the most appropriate management?
Understand the Problem
The question describes a 15-month-old child experiencing a febrile seizure and asks about the most appropriate immediate management. The key is to recognize that this is likely a simple febrile seizure and address the underlying cause, which is the fever.
Answer
Manage fever with antipyretics and investigate the cause of the fever.
The most appropriate management is to focus on identifying and treating the source of the fever, as the child presents with a febrile seizure. Antipyretics should be administered to reduce the fever, and investigations should be performed to rule out serious infections.
Answer for screen readers
The most appropriate management is to focus on identifying and treating the source of the fever, as the child presents with a febrile seizure. Antipyretics should be administered to reduce the fever, and investigations should be performed to rule out serious infections.
More Information
Febrile seizures are common in young children with fever. The primary concern is to identify and treat the underlying cause of the fever while ensuring the child's safety.
Tips
A common mistake is to focus solely on stopping the seizure without addressing the underlying cause (the fever).
Sources
- FDA- Pfizer - fda.gov
- Step 2 Clinical Knowledge (CK) - USMLE - usmle.org
- [PDF] SUBJECT EXAMINATIONS - mun.ca
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