Flashcards in 19- seizure Deck (22):
most common type of seizure in kids
when do absence seizures begin, what age
supportive evidence of a true seizure
A history of alteration of consciousness or loss of consciousness
Deviation of the eyes
Often rhythmic motor movements that cannot be stopped by touching or holding the child
A postictal state.
other causes of seizures
gastroesophageal reflux (Sandifer's syndrome), and
pseudo seizures (psych)
questions to ask parents about seizure of child
-description of event
-precipitating factors (fever)
-ingestion of toxins?
-history of injury (head)
-PMH/Fam hx- premature? delay?
Febrile seizures occur in children ages 6-60 months at a frequency of 2-5% in this age group.
Seizures usually occur on the first day of the febrile illness, often as the first sign to the parents that the child is ill.
Fever > 38 degrees is typically present.
Children with febrile seizures tend to be developmentally normal and often have a positive family history for other first-degree relatives with febrile seizures as children.
Most febrile seizures are generalized.
how long after head injury would you get a seizure
1-2 hours after the incident.
Has poor or absent eye contact.
Fails to recognize caregivers.
Is very irritable and cannot be consoled or distracted.
Has a minimal response to painful procedures, such as an IV placement or blood draw.
Has signs of poor perfusion or respiratory distress.
fever without a source
when a child with acute fever has no localizing symptoms or signs on physical exam
usually 24-72 hours after the onset of fever)
common causes of serious bacterial infection
fever of unknown origin (FUO)"
beyond a 7- to 10-day period.
unusual infections, malignancies, or collagen vascular disorders.
is EEG needed for a kid with one febrile seizure
which tests for afebrile seizure?
complex (vs simple) seizures
over 15 min
more than once in 24 hrs
risk of recurrence after febrile seizure
If a child has his first febrile seizure before age 12 months, the recurrence risk for a second febrile seizure is about 50%.
If a child has his first febrile seizure after age 12 months, the recurrence risk is about 30%.
risk of epilepsy after febrile seizure
slightly increased above the 0.5-1% baseline population risk.
more common among those children with early, recurrent febrile seizures, especially if there is a family history of epilepsy.
do febrile seizures affect future intelligence
in case of a seizure
Place the child on his side so that he won't choke on stomach contents or saliva.
Be sure the child is in a safe
nothing should be placed in mouth
Do not restrain the child's movements
Call 911 if the seizure lasts more than five minutes.
what do you think of when fever for 4 days and then stops, then maculopapular rash
presentation of meningitis
altered mental status,
decreased PO intake, and
decreased urine output.
febrile seizure common age
6 mo- 5 years