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 Case #7 The Seizing Infant.
A 5-month-old baby presents with a rectal temperature of 101F after having what you determine (through careful history) was a generalized tonic-clonic seizure. The seizure lasted less than 2 minutes, and now the baby is no longer post-ictal, and has a non-focal neurological exam. Baby appears non-toxic, has eye contact, and will suck from a bottle, but not as active as normal (after fever comes down) per grandmother. The only pertinent finding on your physical exam is that the baby has an otitis media bilaterally.
1. What is the AAP definition of a simple febrile seizure, and is this one?
2. What lab tests can be helpful in this baby?
3. Should you do a LP? (Baby has a normal, non-focal neuro-exam, WBC is normal).
Click here for answers and to respond
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Previous Articles
Neurologic (12/06/07)
Trauma (11/27/07)
Trauma (11/20/07)
Neurologic (11/13/07)
Pediatric (11/12/07)
Cardiovascular (10/29/07)
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