Month Female Brought Assignment Help: How to Answer This Question

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Original Question

A 22-month-old female is brought to the emergency room (ER) after a 5- minute convulsion at home witnessed by her parents. The child was well until 1 day ago when she developed rhinorrhea, cough, decreased appetite, and increased fussiness. This morning the patient’s mother took the child’s tympanic membrane temperature and found it to be 39.3ºC (102.7ºF). Approximately 15 minutes later the patient’s father heard a “gurgling” noise coming from the child’s room and found the child unresponsive, foaming at the mouth, with “jerking movements” of all four extremities. Both parents estimate that the motor activity persisted for approximately 5 minutes although both report that it “seemed much longer.” On examination the patient is sleepy but can be aroused. Her examination is significant only for crusting of the nares and an erythematous oropharynx without exudate. There is no nuchal rigidity or focal findings on her neurologic examination. Her rectal temperature is now 39.5ºC (103.2ºF), her pulse 110 beats/min, with unlabored breathing at 16 breaths/min and an oxygen saturation of 99%. The child is the product of a full-term uncomplicated pregnancy and went home on day 2 of life. She has had no other significant medical problems. By history she is developmentally on track with an eight-word vocabulary, a normal toddler gait, appropriate fine motor skills, and no hint of developmental regression.

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