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Pediatrics Central Nervous System 62b27000

Management of typical febrile seizure include all except:

A
Tepid sponging
B
Paracetamol
C
Intermittent Clobazam prophylaxis
D
Prophylactic phenobarbitone
High-Yield Explanation
Ans. D. Prophylactic PhenobarbitonePediatric febrile seizures, which represent the most common childhood seizure disorder, exist only in association with an elevated temperature. Evidence suggests, however, that they have little connection with cognitive function, so the prognosis for normal neurologic function is excellent in children with febrile seizures. Most common in children 6 months - 5 years. No specific laboratory studies are indicated for a simple febrile seizure. Physicians should instead focus on diagnosing the cause of fever. Strongly consider lumbar puncture in children younger than 12 months, because the signs and symptoms of bacterial meningitis may be minimal or absent in this age group. Neither long-term nor intermittent anticonvulsant therapy is indicated for children who have experienced 1 or more simple febrile seizures. Antipyretics have typically been suggested with a primary goal of comfort in mind

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