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Old 12-19-2013
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Kids A child with Seizure

A previously healthy 2-year-old boy is brought to the physician 20 minutes after an episode of cyanosis and loss of consciousness that lasted 3 minutes. The symptoms occurred after his mother scolded him for climbing onto the dining room table. The mother says that the child began to cry, let out a deep sigh, stopped breathing, and jerked his arms and legs back and forth. On arrival, he is alert and active. Neurologic examination shows no focal findings. Which of the following is the most appropriate next step in management?

A) Reassurance
B) Electroencephalography
C) CT scan of the head
D) Anticonvulsant therapy
E) Lumbar puncture
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Old 12-19-2013
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A) - Breath holding spells are episodes of loss of consciousness associated with apnea. These are precipitated by anger or pain.They can be cyanotic, pallid or complicated. Common in children aged 6 months to 18 months. No treatment or therapy required. Just reassure the parents that they are not harmful and they have no long term effects. These spells can be associated with iron deficiency. In that case, give them iron pills.
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Old 12-19-2013
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thnx a lot
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