No Neck Stiffness in Pediatrics — 2yo Child | Paediatric Neurology | SMLE Q#17923
SMLE Question #17923
Pediatrics
Paediatric Neurology
Objective: OBJ-NEURO-CP-001
Last updated: February 2026
A 2-year-old boy is brought to the emergency department after a generalized tonic-clonic seizure lasting 3 minutes. He is drowsy but arousable and interacts appropriately. He has had 1 day of fever, rhinorrhea, and sore throat. He has no prior seizures, developmental delay, head trauma, or toxin exposure. His father had febrile seizures as a child. Examination shows nasal congestion and an erythematous pharynx, with no neck stiffness, focal neurologic deficits, or persistent altered mental status. What is the most appropriate next step in management?
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