An Infant Presenting With Fever After First Set Of Immunization

A 2 month old infant is brought to your clinic with a history of having developed temperature of   39.9 C following his first set of immunization. The child is screaming and irritable. General and systemic examination shows no abnormality.
Answer the following questions:

1. Which immunization(s) is/(are) the most likely cause of fever and irritability in the child and outline initial steps in management?
2. What modifications will you make in the immunization schedule for this child?

A Patient Presenting With Seizures

A 65 year old man presents to your clinic after suffering a seizure. An hour back he developed jerking in his right arm and leg which lasted 5 minutes. He also lost consciousness for a brief period. He has smoked > 40 cigarettes for over 30 years. He is normal on examination.
In this case:

1. What is your provisional diagnosis?
2. What is the most likely underlying cause for the seizure?
3. How will you investigate and manage?

Answers: