Please tell me more about that? Describe the event in
detail? What was the child doing before that?
Have you noticed any LOC? Tongue biting or frothing? Passed urine or stools
without knowledge? What happened after the episode?
Differential Diagnosis: FM TE
Febrile, Meningitis, Trauma/hemorrhage, Hypo/Hypernatremia.
- For Febrile seizure: (Fever, Family Hx)
a. Do you have a Hx of recent illness?
2.For Meningitis:
a. Have you noticed any stiffness in the neck?
b. Did he/she lose consciousness?
c. Have you noticed any shaky movements?
d. Have you noticed bulging of fontanels? - For Trauma/hemorrhage:
- For Hypo/Hypernatremia:
a. Have you noticed any change in bowel habits?
b. Have you noticed nausea or vomiting?
c. Have you diluted the formula feed?
PE: HEENT /CVS Exam.
Workup: - CBC with differential, S/E (K+)
- CXR
- Lumbar puncture & CSF analysis
- CT scan brain
- Urinalysis