[Answered]: 1830 Emergency Department History 4-year-old…

1830 Emergency Department History 4-year-old child arrives at emergency department (ED) with parent via ambulance for suspected seizure. Parent reports child has been ill since yesterday and had a shaking episode around dinnertime that lasted only a few minutes. Parent reports the child was not responsive, shaking, and then the episode resolved on its own. Child appeared confused and tired after episode. Parent called 911 and child was transported to ED. There is no history of similar episodes in the past. Child has had runny nose, malaise, and felt warm to the touch since yesterday. Fluid intake has been slightly decreased, through has urinated several times today. Denies nausea, vomiting, diarrhea. No known sick contacts, though child attends preschool. Parent administered acetaminophen approximately 2 hours ago. The child has no significant medical history. No known developmental delay, achieved developmental milestones as expected. Immunizations are up to date. General: alert, awake, fearful of examiner Eyes: pupils equal, round, reactive to light. Eye movement symmetric. Ears: canals clear, tympanic membranes pearly gray with landmarks visualized Nose: mucosa inflamed, clear rhinorrhea bilaterally Mouth: moist mucous membranes, pharynx mildly inflamed without petechiae or exudate. Tonsils 3+ bilaterally Neck: full range-of-motion, no lymphadenopathy Heart: regular rate and rhythm, no murmur appreciated Lungs: clear to auscultation, easy work of breathing Abdomen: bowel tones present, soft and nontender Skin: warm, pink, capillary refill <2 seconds Neurological: speech understandable, responsive to questions, symmetric move