Read through the patient's history below.
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Felix was standing at the front door, dressed for childcare while David collected the bags. When David came to the door, Felix was lying on the floor with all four limbs jerking. His eyes were rolled back in his head and he was not responsive when David called out his name. His father said he lay jerking on the floor for a very long time. He then went limp and floppy as if he was deeply asleep. Felix's father brought him to the hospital by car, fifteen minutes' drive from their home. David said the "turn" lasted less than five minutes.
Felix had had a clear runny nose that morning and had eaten only a little breakfast. He felt warm and his mother checked his temperature, which was 38oC. He had been well the previous day and slept well from 7.30 pm to 6 am, when his mother woke him before she went to work. He had had no vomiting or diarrhoea and David had not noted a rash. Felix had not hit his head or been upset by anything that morning. No one else in the family had been unwell.
Felix is 18 months old and was born in Australia. He is the first child of David (29 years) and his wife Immaculada (27 years), both from the Philippines. He was born at 36 weeks gestation weighing 2.9 kg at a district hospital following a normal pregnancy. There was hypertension in the last two weeks of pregnancy. After he was born, he required oxygen for respiratory distress but was discharged at seven days of age. He has had no hospitalisations or serious illnesses. He has had no previous episodes like this.
Felix sat alone at 6-and-a-half months, walked at twelve months and is now climbing up and down stairs. He is using lots of single words in English and in Tagalog. He uses occasional two word combinations such as "Felix juice". He enjoys playing with balls and looking at picture books for brief periods. He can build a tower of three small blocks. Felix attends a long day care centre three days a week.
He has no significant past medical history, receives no regular medication and has no known allergies. His immunisations are complete for his age, in line with the Australian schedule.
David is an only child and both his parents are deceased. He had a tonsillectomy at six years of age but no other serious illnesses. His wife is one of two daughters. They are both well. Felix's maternal grandmother has non-insulin dependent diabetes and his grandfather has a history of gastric ulcer disease. There is no family history of seizures.
Stage 1 and 2 resources on Compass:
Learning topic: Seizures (Just coping)
Lecture: Seizure disorders (Jason and Brooke)