There is no possibility of ingestion or trauma. After 30 minutes in the ED, the child awakens, is alert, playful and has a normal neurologic exam. A three year old boy became confused while playing on a playground, fell to the ground and had a generalized tonic-chronic seizure lasting five minutes. The patient was transported by ambulance to the Emergency department. On arrival, he appears asleep, but is arousable.
Family history is positive for seizures in a paternal uncle.
For each test you would like to order, state the reason you need this test. A 10 month old African-American child presents with irritability. On physical examination, you note that the patient is extending out his hands and feet and they appear swollen. The patient is very irritable. Otherwise, the examination is unremarkable.