Diagnostic Approach

Febrile Seizures

• Neurological exam: Assess for meningeal signs, focal neurological deficits
• Lumbar puncture: If meningeal signs present or suspicion for CNS infection
• EEG: Not routinely needed
• Neuroimaging: Only if focal findings or persistent neurological abnormalities

Status Epilepticus

• Bedside glucose test: Rule out hypoglycemia
• Laboratory studies: Serum glucose, electrolytes, blood gas, renal function tests, drug levels
• Toxicology screen if overdose suspected
• EEG: Confirms seizure activity and monitors response to treatment
• Neuroimaging: If focal findings or history of trauma
• ECG: Assess for arrhythmias