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Simple febrile seizure — RCPSC EM MCQ

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EasyPaediatric emergenciesSimple febrile seizureRCPSC EM

CTAS 3. A 20-month-old has a generalized tonic-clonic seizure lasting 2 minutes with fever. He is immunized, returns to baseline, and has otitis media on exam. Neurologic exam is normal. What is the most appropriate disposition?

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Correct answer: A — Discharge with fever advice and safety-netting

A brief generalized febrile seizure with return to baseline and a clear fever source generally needs reassurance and safety-netting rather than neuroimaging.

Reference: Choosing Wisely Canada: Paediatric Emergency Medicine