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15294 Medicine

A previously well 2-year boy presents with a brief single episode of generalized seizure. There is no past family history of seizures. O/E, child is ale, active, with axillary temperature of 40degC. Except for bilateral tonsillar enlargement there are no other signs or symptoms at this time. What is the best way for management of this patient?

AImmediate reduction of body temperature
BIntravenous diazepam and phenytoin, followed by a lumbar puncture
CInstitution of phenytoin for maintenance therapy for at least one year
DRectal diazepam every 8 hourly for 2-3 days to reduce the risk of recurrence
Medicine
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