Febrile seizure (pediatrics) Quiz: Ace Your Exams
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A 4-year-old boy is brought to the emergency department by his parent, following a witnessed seizure that occurred on the playground. The parent reports that his son suddenly developed flailing of the left upper extremity that lasted for approximately 20 minutes. About 2 hours later, the patient had another episode lasting a similar amount of time. The parent says that the patient has had a sore throat and bilateral ear pain for the past three days. The boy has no significant past medical history and vaccinations are up-to-date. Temperature is 39.4°C (102.9°F), pulse is 102/min, and blood pressure is 109/78 mmHg. The patient appears tired but has a normal neurologic exam without focal findings. Oral examination of the posterior pharynx reveals mild erythema and on otoscopic exam, there is mild erythema of the tympanic membranes bilaterally. Cardiopulmonary examination is within normal limits. Strep screening is negative and the patient tests positive for RSV. Antipyretic therapy is given for fever control. Which of the following is the best next step in management?
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