03-19-2008, 01:08 PM
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
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