This educational guide provides a much-needed subspeciality-specific learning resource for pediatric hospital medicine. Featuring 50 of the most commonly presenting topics encountered by pediatric hospitalists, this book brings readers into the morning meeting and walks them through patient presentation, diagnosis, treatment, and resolution, providing realistic examples in an engaging case-based format. Available for purchase at https://shop.aap.org/pediatric-hospital-medicine-a-case-based-educational-guide-paperback/
Case 35: Ricky, a 3-Year-Old Boy with Shaking
"Ricky, a 3-Year-Old Boy with Shaking", Pediatric Hospital Medicine: A Case-Based Educational Guide, American Academy of Pediatrics, Melissa G. Cossey, MD, FAAP, Lauren K. Gambill, MD, MPA, FAAP
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Ricky is a 3-year-old boy with no significant medical history who is brought to the emergency department (ED) by emergency medical services (EMS) for an episode of shaking and unresponsiveness at home. EMS reports that on their arrival, Ricky was observed having whole body stiffening and shaking lasting approximately 5 minutes, for which he received 1 dose of intramuscular midazolam. From the descriptions of Ricky’s parents and EMS, the ED physician determines that the episode is consistent with a seizure. Ricky has been observed in the ED for approximately 3 hours without further seizure activity. Though still drowsy, he does sit up briefly and takes a few sips of juice before falling back asleep. The ED physician contacts you to request that you evaluate Ricky for admission.