Page 1 of 1: OSCE-Buster: Febrile Convulsions - Counsel mother

sepplabber · Credits: 9520 My Scrapbook

QUESTION

Mrs. Jones is a mother of Rosy who is four years old and has admitted with febrile convulsions. She is worried about the child and also concerned about the fits occurring in the future. You are the paediatric SHO , counsel her.

ANSWER

Good morning Mrs. Jones, my name is Dr……………. I am one of the doctors doing the clinics today. I would like to discuss about your sons condition and what needs to be done, is that ok?

After the detailed examination of your son and the investigations we think that he has what we call febrile convulsions.

Do you know anything about them?

This is a seizure brought on by fever and is usually appeared in a child aged between 6 months and 5 years. The child becomes unconscious and usually stiff with jerking of the arms and legs.

I know Mrs. Jones that was a very frightening experience for you, however febrile convulsions are not as serious as they look.

Is there anything you want to ask me before proceeding?

At this point I would like to tell you what you should do to prevent febrile convulsions. If your child is having fever, don’t over cloth him or over heat the room, try to keep him cool! Give him plenty of fluids to drink and also don’t forget paracetamol medicine to get his temperature down.

When your child is fitting you should lay him flat on his side with his head at the same level or slightly lower than his body. Note the time and wait for the fit to stop. It is not necessary to do anything else. If the fit doesn’t stop in 5 minutes we will give you medicine which is called diazepam and you have to insert it in the child’s back passage. This should stop the fits in 10 minutes. If doesn’t call 999. In any event let your doctor know what has happened.

OTHER POINTS:
- The risk of having another attack gets rabidly less after the age of 3 years.
- It is not epilepsy. 99 out of 100 children with febr.convulsions never have other seizure after they reach school age.
- Febrile convulsions less than 30 min will never cause brain damage

Is there anything you want me to ask? THANK PATIENT/EXAMINER

sepplabber · Credits: 9520 My Scrapbook

rectal diazepam is used only in case of recurrent fits.

Mothers are usuaullly shown a video and the pediatric nurse clarifies her doubts

We can tell the mother, "in case if it is happening repeatedly, then we will give you medicine to be put into the kid's backpassage and our pediatric nurse will explain to you how to do

sajida · Credits: 105417 My Scrapbook My Reading List 6 Books

thanks

diyapathak · Credits: 355 My Scrapbook

thanks all...........

vanshu17oct1 · Credits: 2828 My Scrapbook

lie the child on his/her side and remove hard objects near to the baby. Never try to put anything into the mouth.

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