A 2-year-old child presents with fever, irritability and a simple febrile convulsion lasting 2 minutes, which resolved spontaneously. Neurological exa...

Question

A 2-year-old child presents with fever, irritability and a simple febrile convulsion lasting 2 minutes, which resolved spontaneously. Neurological examination is normal and there are no meningeal signs. Which is the most appropriate management?

Accepted Answer

Provide parental reassurance and treat fever; no routine neuroimaging is required

Answer

Admit to intensive care for EEG monitoring

Answer

Start long-term anticonvulsant therapy

Answer

Order an urgent CT brain scan

Answer

Discharge with rectal diazepam for daily use

au-amc MCQ (SBA): Simple febrile convulsion

A 2-year-old child presents with fever, irritability and a simple febrile convulsion lasting 2 minutes, which resolved spontaneously. Neurological examination is normal and there are no meningeal signs. Which is the most appropriate management?