GDS2008
Forum Elite
Topics: 9
Posts: 144
|
cbenitesch -- there is no question to sunny's point regarding the pathophysiology of FS. it is verry well established that the rapid rise in body temperature somehow alters the neuronal excitability in the cerebral hemispheres which causes a seizure. (based on EEG recordings on animal models. U can find this by searching on the medline with keywords "febrile seizures" and "Review"). What is not known however, is the exact mechanism by whihc this occurs. There are theories regarding K+ channel instability but it is not for certain. So there is no doubt about that.....However, I agree with Sunny that it would be important to calm the mother down first but saying that there is no risk is wrong (there is a potential risk). Also, if we go through Nelson's essentials of pediatrics, it is clearly said that most authorities would first control the fever (obviously by giving anti-pyretics whihc of course would be acetaminophen) and then do a thorough examination to look for a casue. In most cases, it is due to an URT infection (viral) but if the need be the physician should be ready to perform an LP.
Thanks sunny for bringing up an improtant issue which is actually very high yield!
|
| sunny2
Forum Elite
Topics: 51
Posts: 385
|
frank100 and GDS2008, please see that it is not pressing on an answer and as I said earlier proving a point here.
The question was about a concept and if you look at it choice by choice you can easily eliminate all of them in lieu of what the question is asking you...to address her concern about feb. seizure.
of course he is at risk at 104 but he is not at "great risk"as the answer is pointing "increased /great" ...we have to watch these words like we watch "the likely,most likely,initial,best the most sensitive" sort of distracting words which completely changes the answer.
anyway, 
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
Thanks guys! but have my doubts!
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
seriously speaking...you will never approach a phone call, where a mother is telling you her baby is 104!!! by saying "donīt worry he is not at great risk", unless you have a huge bank account to pay for lawsuits. you cannot tell if the fever is likely to go down or up only by history.
personally i will never say that to anyone in the world. the mother concer is not my concern righ now, because there is a child with high fever, and I donīt know whatīs causing it.
sunny2, maybe you tryed to make it as tricky as you can, but...
|
| GDS2008
Forum Elite
Topics: 9
Posts: 144
|
com on guys give him a break. He desings questions to convey concepts and most of his questions have ended up with pretty good discussions, clearing out mnay things for people on this forum. Thanks for that sunny and we will expect to to get more celebrity questions from you. Good luck every 1
|
| frank100
Forum Guru
Topics: 48
Posts: 586
|
I agree with you GDS2008, sunny qīs rock!!!. but this one makes you think a lot...
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
Ok guys! you are right!!!! well partially right!... I finally found it on UptoDate, Phatophysiology section they say that seizure is commonly seen when temp goes up over 38°C but is seen also when it goes DOWN!...
Regards
|
| sunny2
Forum Elite
Topics: 51
Posts: 385
|
wow , guys...you are labelling me as a question designer and I do not know if I would be able to even get a decent score in step 2
i donno ....but it's actually fun to learn this way when u put a concept in question format and look at it 3-4 times tryin to fix the understanding in one of the gyruses so that it can come out when u need 'em and most important is that it gives a sort of diffrentials when all of us start commenting from our own view points ....so that's an extra bonus to learn and correct urself at the same time
|
| study_ing
Forum Fanatic
Topics: 180
Posts: 2,509
|
hence 'question designer', be flattered and continue the thinking questions please!
wud rather encounter confusion on the forum than in th 800 $ exam 
___________________
If you yourself are at peace, then there is at least some peace in the world.
|
| cbenitesch
Forum Senior
Topics: 10
Posts: 141
|
hahahaha you are right! study_ing! $800 exam! if I fail?!... Iīll sell my kidney!
|
|
| |
| | | | | | | | | | |
