A 4-year-old boy was brought into the ED fitting. He had a 5-day history of coryza, cough, lethargy, vomiting and pyrexia.
He was previously fit and well, with no previous seizures and no family history of epilepsy.
On arrival to the ED, he had been fitting for 25 minutes despite rectal diazepam 20 minutes ago at home. The seizure was noted to be predominantly left-sided.
Other observations are: Sats 80%, poor trace, HR ? 140, CR 3 sec.
He is transferred to the resuscitation room with a non-rebreathe mask on 10 L/min of oxygen.
0 of 6 Questions completed
Questions:
You have already completed the exam before. Hence you can not start it again.
Exam is loading...
You must sign in or sign up to start the exam.
You must first complete the following:
Time has elapsed
Which of these drugs might you choose for this patient?
For the same patient, which of the following blood tests would you order? (Select all that apply)
His mother mentioned he had been on antibiotics for a chest infection last week. Clinical examination now reveals:
What treatment would you give?
Which of the following is an indication for obtaining a CT? (Select all that apply)
You order a CT. After 20 minutes, the child's GCS is 8/15. He is transferred to CT with an anaesthetist. The CT reported as normal but the child remains lethargic. The nurse asks if she should get an lumbar puncture trolley ready for you. Should she? What is your decision and justify your answer.
The child's initial blood results were: Na 115 mmol/L and K 3.1 mmol/L.
What are the most likely causes of this abnormality? There are two possible answers.