Fever and Seizure in an 18-Month-Old
A branching clinical case simulation for a patient presenting with fever and seizure. Take a history, examine, investigate, diagnose and treat while the patient responds to every decision, then see the score by clinical domain with the reasoning for each mark.
Year 3easy20 min6 stages
- Patient
- 1 years, female
- Presenting complaint
- Fever and seizure
- Decision stages
- History, Examination, Investigations, Diagnosis, Treatment, Monitoring
The presentation
An 18-month-old girl has been brought to the emergency department by her mother after a 3-minute generalised seizure at home. She is now drowsy but rousable. Her mother is very anxious. You are the medical student seeing her first.
What this case teaches
Distinguish a simple febrile seizure from meningitis and other causes; manage the airway and a prolonged seizure; find and treat the source of fever; counsel parents on recurrence.
How the case unfolds
- 1Taking a focused historyHistory
- 2Examine the childExamination
- 3Order initial investigationsInvestigations
- 4State the likely diagnosisDiagnosis
- 5Initial management and treatmentTreatment
- 6Monitoring and discharge planningMonitoring
The decisions available at each stage, and what each one costs or earns, appear when you run the case.
Log in to run "Fever and Seizure in an 18-Month-Old"
A free account opens the simulator: the patient's observations move with your decisions, and every choice is scored and explained.
Taught in
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Educational content for students and clinicians in training. It does not replace professional judgement, local protocols or current prescribing information.