Simple Febrile Seizure in a Well-Appearing Child
Most first febrile seizures resolve quickly with a normal exam.
- 6–60 mo: Peak age range (placeholder statistic)
- <1 hr: Return to baseline (placeholder statistic)
- ~30%: Recurrence risk (placeholder statistic)
- Rare: Serious cause found (placeholder statistic)
Recognizing the simple febrile seizure
Short placeholder text describing simple seizure recognition.
Meningitis Consideration in Infants Under 12 Months
Younger infants have subtler meningitis signs and need more caution.
- <12 mo: AAP focus age (placeholder statistic)
- Matter: Immunization gaps (placeholder statistic)
- Masks signs: Prior antibiotics (placeholder statistic)
- High: Exam priority (placeholder statistic)
Why younger infants get extra scrutiny
Short placeholder text on infant meningitis risk factors.
Lumbar Puncture Decision Criteria
LP decisions weigh age, appearance, and meningeal signs together.
- LP strongly: Ill-appearing (placeholder statistic)
- Consider LP: 6–12 mo unimmunized (placeholder statistic)
- Consider LP: Pretreated antibiotics (placeholder statistic)
- LP not routine: Well, >12 mo (placeholder statistic)
Weighing age against clinical appearance
Short placeholder text summarizing LP decision logic.
Routine Labs Generally Not Needed
Blood glucose, CBC, and electrolytes rarely change management.
- If indicated: Glucose testing (placeholder statistic)
- Not needed: CBC routine (placeholder statistic)
- Not needed: Electrolytes (placeholder statistic)
- If ill: Targeted testing (placeholder statistic)
When labs actually help
Short placeholder text on selective lab testing.
Neuroimaging Reserved For Atypical Features
CT or MRI is reserved for focal or prolonged atypical presentations.
- No imaging: Simple seizure (placeholder statistic)
- Consider imaging: Focal deficit (placeholder statistic)
- Consider imaging: Prolonged/complex (placeholder statistic)
- MRI over CT: Preferred modality (placeholder statistic)
Atypical features that justify imaging
Short placeholder text on neuroimaging triggers.
Placeholder callout: imaging changes management only rarely.