ST. GEORGES UNIVERSITY SCHOOL OF MEDICINE ‘STUDENT NAME. DATE. SEIZURES ‘A9 month old female is brought to the ED by EMS. Mom reports patient had a URI for the last couple of days but was otherwise playful and feeding well until this afternoon, when her eyes rolled back and her arms and legs started shaking rhythmically. This lasted for 5-6 minutes, during which time Mom couldn't get the baby to respond to her. She hadn't noted fever previously, but the baby was “burning up" when she picked her up. By the time EMS arrived the shaking had stopped. In the ED, the patient's temperature is 105°F rectally. The baby is alert but irritable. Both tympanic membranes are erythematous and bulging. There are no focal neurologic deficits. 1. How would you characterize this patient's seizure? 2. What additional history and/or physical exam findings would be helpful in determining the cause of the seizure? 3. What diagnostic studies would you request, in what order? Give your rationale. 4, Define a benign febrile seizure. What is the likely pathophysiology? 5. What is the difference between a simple and a complex febrile seizure? After performing a full septic work-up, your resident decides to admit the patient and begin empiric treatment, 6. What antimicrobial therapy would you initiate? PLEASE TURN OVER