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04/27/16 1

Simple febrile seizuresSimple febrile seizures

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2

PathophysiologyFever 

(rise in boy temperature 1!"#

in$reases basal metabolism in$rease o%ygen eman (10&

1'# (20#

"hanges in the balan$e (the $ell

membranes of neurons#

iffusion through the membrane  (ion )*&&&&&&&&&&&&ion +a*#

  loose ele$tri$ $harge

  $onvulsions

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"lini$al manifestation

,

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Supporting investigation

-loo test

&  +o spe$ifi$ laboratory stuies are ini$ate for a

simple febrile seizure& .ther laboratory tests may be ini$ate by the nature

of the unerlying febrile illness For e%ample a $hil

ith severe iarrhea may benefit from bloo stuies

for ele$trolytes maging

& Fo$al neurologi$al abnormalities

4

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3umbar pun$ture

ith regar to lumbar pun$ture the folloing shoul be 5ept in min& Strongly $onsier lumbar pun$ture in $hilren younger than 12

months be$ause the signs an symptoms of ba$terial meningitis

may be minimal or absent in this age group

& 3umbar pun$ture shoul be $onsiere in $hilren age 12&1

months be$ause $lini$al signs an symptoms of ba$terialmeningitis may be subtle in this age group

& n $hilren oler than 1 months the e$ision to perform lumbar

 pun$ture rests on the $lini$al suspi$ion of meningitis

 

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