CASE REPORT

SIMPLE FEBRILE
SEIZURES
By: Anisa Agustina, MD.

Supervisor:
M Diana Rahim, MD
PATIENT IDENTITY
Name : MNH
Gender : Male
age : 3 y.o
Address : Guntur, Garut
RM : 163539
Date of admission : March 1st, 2021
Date of discharge : March 3rd, 2021
HISTORY OF PRESENT
ILLNESS
February 28th, 2021
the patient has fever and runny
nose
March 1st, 2021
the patient had seizures and
immediately went to the
thunder hospital igd
CLINICAL PATHWAY
SUBJECTIVE

A 3 year old baby boy was brought by his parents to Guntur Hospital with complaints
of seizures approximately 1 hour before entering the emergency room at Guntur
Hospital. The seizure only happened once. The duration of the seizures is about 10
minutes. During a seizure, the patient's hands are clenched into fists and the upper
arms and lower legs vibrate as if someone were shivering. The eyes bulged upwards,
and the patient's mouth was like a grin, but no foam came out of the patient's mouth
and the tongue was not bitten. When a seizure occurs the patient is unconscious and
after the seizure the patient is conscious but his body becomes weak. The patient's
mother admitted that before the seizure the patient had a high fever. Fever occurs
since approximately 1 day before admission to the hospital. Fever appears suddenly.
The patient did not experience cough and diarrhea. only had a cold for 2 days.
CLINICAL PATHWAY
OBJECTIVE

Compos mentis RR : 24 x
GCS 15 HR : 110bpm
Weight : 12kg S : 38 C

Head : anemic conjuctiva -/- icteric -/-

Neck : no enlarged lymph nodes
Thorax : VBS +/+, Rh -/-, whz -/-
Abdominal : bowel sound +, epigastric tenderness -
Extremities : CRT <2 s
Laboratory Result

All within normal limits.

6
Laboratory Result

All within normal limits.

7
Laboratory Result

All within normal limits.

8
DX
Simple Febrile Seizures
THERAPHY
IVFD asering 20 dpm
Paracetamol 3x1cth PO
Diazepam amp 0,5mg given when seizures (diluted and bolus slowly)