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neurological_febrile seizure (history (seizure (befire during after),…
neurological_febrile seizure
history
seizure (befire during after)
meningitis? (neck stiffness, photophobia)
family history
ABC, vitals
Glasgow coma scale
investigations
(CBC differential count, blood culture, urine culture, urinalysis, lumbar puncture) septic workup
glucose, Ca, Mg, Na
CT brain
physical examination
neurocutaneous sydromes
meningococccemia
(ddx) neurological
3rd
IV lorazepam
5th
IV midazolem (ICU: respiratory distress)
4th
smaller than 18 months
phenyltoin
18 months
phenobarbitone
1st
rectal diazepam
2nd
rectal diazepam
differential diagnosis
v epileptic
primary
secondary
cerebral damage (congenital infection, hypoxic-ischemia encephalopathy, intraventricular hemorrhage)
cerebral vascular occlusion
cerebral malformation
SOL
neurocutaneous syndromes
neurodegenerative diseases
x epileptic
febrile seizure
encephalitis, meningitis
head trauma
poison
metabolic (hypoglycemia, hypoCa, hypoMg, hypo/hyperNa)
generalized tonic-clonic seizures
complex
focal OR prolonged OR repeated
simple
status epilepticus
repeated
lorazepam
30 minutes
resuscitation