Febrile seizure (pediatrics) Quiz: Ace Your Exams

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A 3-year-old boy is brought to the emergency department by his parent following a witnessed seizure at home. The boy had seizure-like activity of the right lower extremity that lasted for approximately 25 minutes. The patient subsequently developed another episode lasting a similar amount of time. The parent states the patient has been tugging at his left ear for the past 24 hours. The boy has no other significant past medical history and no allergies to medication. Vaccinations are up-to-date. Temperature is 39.4°C (102.9°F), pulse is 110/min, and blood pressure is 103/75 mmHg. Physical examination shows a toddler who is tired but otherwise has a normal neurologic exam. The left tympanic membrane is bulging with opacification and erythema. The oropharynx is within normal limits. Cardiopulmonary examination is within normal limits. Antipyretic therapy is provided for fever control. Which of the following is the best next step in management?  

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