Dx: Febrile seizure secondary to some URTI (apparently the child has prominent adenoids... he has been snoring throughout the entire consultation)
I asked if he had any rash but the parent said no.
Areas I need to improve on:
- I guess I could have asked more symptoms to rule out meningitis (e.g. photophobia, neck stiffness) if the patient was able to give a response or test it on the patient (e.g. kernig's / brudzinski's sign).
- I should also have asked more about the seizure itself: During - irregular breathing? pallor? After - is he back to his usual self?
Learning point:
- Parent getting reassurance from the doctor in that simple ones do not cause permanent brain injury and most children usually grow out of it by their 6th birthday.
On a side note, family history is also important. I remember clarking a patient before whose entire family had some form of febrile seizure.....
Anyways I think I have improved on my history taking skills... practice practice practice (unlike Allen Iverson :P)
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