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*  4
 #140637  
  angioplasty - 11/22/06 16:32
 
  4. A previously healthy 3-year-old boy is admitted to the hospital through the emergency department because he has been having generalized seizures. He had a fever this morning and had one seizure at home and another on the way to the emergency department. While in the emergency department he had several additional seizures that were controlled with intravenous lorazepam. Vital signs on arrival at the emergency department were temperature 39.6°C (103.3°F), pulse 110/min, respirations 24/min, and blood pressure 85/60 mm Hg. Physical examination showed no abnormalities except for left otitis media and lethargy. Intravenous phenytoin was administered. Spinal fluid examination, serum electrolyte concentrations and complete blood count were normal. Now in the hospital, the patient has another seizure. The patient is managed appropriately and the seizure stops. When discussing this child's management and prognosis with the parents, it is most appropriate to counsel them about which of the following?

A

) Their child has an increased risk for attention-deficit/hyperactivity disorder

B

) Their child has an increased risk for developing a brain tumor

C

) Their child is likely to be developmentally delayed

D

) Their child will have a seizure every time he has a fever
E

) Their child will probably become seizure-free as he becomes older
 
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* Re: 4
#568304
  pedres - 11/22/06 16:47
 
  D  
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* Re: 4
#568305
  knock_knock - 11/22/06 16:48
 
  E)  
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* Re: 4
#568329
  pedres - 11/22/06 16:56
 
  first counsel them anout recurrence so they are ware of the problem and advice prophylaxi  
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* Re: 4
#568333
  alexis - 11/22/06 16:59
 
  e.  
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* Re: 4
#568424
  pk007 - 11/22/06 17:58
 
  E.  
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* Re: 4
#568448
  joscohmd - 11/22/06 18:26
 
  very attractive choice D,but it is wrong.You can't say febrile seizure will be every time when he has a seizure.This is a risk factor.Most likely will be seizure free during adulhood,choice E  
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* Re: 4
#568577
  benign1998 - 11/22/06 21:07
 
  ... pt with febrile seizure r at risk of having generalised seiziure more than that of g ene population  
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* Re: 4
#569214
  tea - 11/23/06 13:02
 
  e
 
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