SAQ 1093 – prolonged paediatric seizure with apnoea

A previously well 4-year-old girl has a sudden generalised tonic-clonic seizure lasting 40 minutes, terminated with one dose of midazolam. Immediately afterwards she is GCS 3 and apnoeic. She then improves to GCS 14 over 30 minutes, with no focal signs, no preceding fever, occasional headaches, normal glucose and electrolytes, and a history of three months in India six months ago.

Briefly describe two methods for maintaining ventilation and explain your preferred method.

(Marked out of 4.0)

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List five possible causes of apnoea in this situation.

(Marked out of 5.0)

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List five possible causes for the seizure.

(Marked out of 5.0)

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Outline one pro and one con of CT brain compared with MRI brain in this situation.

(Marked out of 4.0)
</p> <table class="saq-prop-table" style="width: 100%; table-layout: fixed; border-collapse: collapse; max-width: 100%;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Modality</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Pro</th> <th style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">Con</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">MRI</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;">CT</td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> <td style="overflow-wrap: anywhere; word-break: normal; vertical-align: top; white-space: normal; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

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Total Score: 0 / 18

Percentage: 0%