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Paediatrics, Febrile Seizure, SBA

Michael aged five, is currently in your consulting room, and is reported to have suffered a seizure whilst on his way to the appointment . Michael’s mother Lucy is clearly very distressed and explained that whilst getting into a taxi his eyes rolled back and his arms and legs became stiff and then began to swing back and forth. She thinks the episode lasted 2minutes following which Michael was a bit groggy for about twenty minutes. The appointment was originally booked as he was suffering from intermittent fever, ear pain and coughing for the past week. She informs you that he is normally fit and well, is up-to-date with his immunisations and has one older brother.

On examination:


AVPU- A, observations including temperature NAD

Cardiological, respiratory, abdominal and neurological examination is unremarkable

His right ear reveals a bulging erythematous tympanic membrane but left ear and throat examination is unremarkable


You explain to Lucy that Michael has suffered his first febrile seizure most likely as a result of acute otitis media. What is the most appropriate course of action:

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