USMLE Forum Archives - USMLE Step 2 CK - peds
peds
conym5 - 03-30-10 22:56
An 19-month-old baby girl presents to the ED with a fever .Her temperature of 40°C . In the ED, the patient begins to have generalized tonic-clonic seizures . her pharynx is mildly erythematous. . Kernig’s and Brudzinski’s signs are -ve.Which of the following is the most appropriate next step ?
conym5 - 03-30-10 22:56
An 19-month-old baby girl presents to the ED with a fever .Her temperature of 40°C . In the ED, the patient begins to have generalized tonic-clonic seizures . her pharynx is mildly erythematous. . Kernig’s and Brudzinski’s signs are -ve.Which of the following is the most appropriate next step ?
The correct answer and explanation will be available after you answer.
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#4
Re: peds
conym5 - 03-31-10 23:50 pankaj is correct..these are febrile seizures..acetaminophin ll resolve the seizures, but recurrent seizures incidence rate ll be high in future..
#19
Re: peds mtniharika - 04-30-10 09:16 My answer is: d.
THESE REPRESENT FEBRILE SEIZURES AND TO BE TREATED BY PROMPTLY REDUCING THE TEMPERATURE BY cold sponging and antipyretics...
#24
Re: peds babbu5508 - 05-19-10 13:59 My answer is: d.
the baby has febrile seizures probably due to fever resulting from pharyngitis.hence, hyperthermia to be controlled first with antipyretics..and seizures would decrease with phenobarbital
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