CLINICIAN'S CROSSWORD

"Whole lotta shakin' goin' on"

By Deborah Callanan, MD

ACROSS

1. Use this first to treat status epilepticus

2. Cause of seizure in an infant with full fontanel and retinal hemorrhages (two words)

3. Expect benign febrile seizure to last less than ___ minutes

4. One- ___ : Percentage of patients in whom seizures may accompany bacterial meningitis

5. Class of drugs: Ingestion can prompt seizures, widened QRS complexes

6. Common cause of status epilepticus in a hypothermic 5-month-old

7. Treat isoniazid overdose-induced seizure with this

8. Can computed tomography scan help evaluation? Yes, if seizure (or exam) is ______

9. Self-limiting seizure-type activity seen during anger, usually with cyanosis (three words)

10. No IV access? Alternate route to give diazepam

11. Recurrence of a febrile seizure is more likely before ____ ____of age (two words)

DOWN

3. Antiseizure prodrug offers faster IV administration

5. Risk of recurrence after febrile seizure: ____ percent

12. Metabolic seizure seen in normal infants in first months of life; rare later, absent associated disorder

13. Triad: Tea-colored urine, insect bite, seizure due to _____

14. Breakthrough seizures in a previously well-controlled patient may be associated with _______

15. Percentage: Children who have at least one seizure before 16 years of age

16. First seizure during this activity raises risk of recurrence

17. Longer-acting benzodiazepine is useful as an initial anticonvulsant in status epilepticus

DR. CALLANAN is a pediatric emergency medicine physician at CHRISTUS Santa Rosa Children's Hospital, San Antonio, Tex.

Answers to the Clinician's Crossword

Across

1. OXYGEN

2. CHILD ABUSE

3. FIFTEEN

4. THIRD

5. TRICYCLICS

6. HYPONATREMIA

7. PYRIDOXINE

8. FOCAL

9. BREATH HOLDING SPELL

10. RECTAL

11. ONE YEAR

Down

3. FOSPHENYTOIN

5. THIRTY

12. HYPOCALCEMIC

13. HYPERTENSION

14. NONCOMPLIANCE

15. FIVE

16. SLEEP

17. LORAZEPAM

Clinician's Crossword: "Whole lotta shakin' goin' on".

Contemporary Pediatrics

2003;3:144.