CASE: 20 MONTH-OLD, MALE BROUGHT

TO THE EMERGENCY ROOM DUE TO

GENERALIZED TONIC-CLONIC SEIZURE.

HISTORY OF PRESENT PHYSICAL EXAMINATION: PARACLINICAL DIAGNOSIS:

ILLNESS:
 15 minutes prior to
consultation the patient
experienced sudden
generalized stiffness and
rigidity of the body with
eyes rolling upward that
lasted for 1 minute.
 1-day prior: Patient has
fever with temperature of 38
C, vomited once
 No exposure to sunlight
 Patient cried after the
seizure
 There is no known family
history of seizure
 No medications were given.
Tepid sponge both was done
to lower body temperature
 ABC’s clear, HR – 120 bpm
 Pupils are equally reactive
to light – 2 -3 mm
 Patient is irritable
 Less feeding since start of
fever
 No visible trauma,
abrasions, rashes
 Eyes: anicteric sclera,
pinking conjunctiva, no
discharge
 Negative Kurnig’s and
Brudzinski’s Sign
 Tonsils are inflamed
 In the case of this patient,
no blood studies,
neuroimaging, or
electroencephalogram is
necessary for simple febrile
seizures and the evaluation
should focus on identifying
the source of fever.
 Other laboratory tests may
be indicated by the nature of
the underlying febrile
illness. For example, a child
with severe diarrhea may
benefit from blood studies
for electrolytes.
 Lumbar Puncture not
recommended for this
patient (older than 18
months)

PRIMARY CLINICAL DIAGNOSIS: SIMPLE FEBRILE SEIZURE SECONDARY TO TONSILITIS

- is a generalized tonic-clonic seizure lasting <15 minutes with a fever 38°C (100.4°F)
in a child 6 months to 6 years of age that occurs only once in a 24-hour period.

TREATMENT: