Reasons related to causation:
(1) meningitis is possible
(2) no apparent cause for the fever
Reasons related to seizures:
(1) no fever is present (i.e, nonfebrile)
(2) complex seizure pattern
(3) prolonged recovery afterwards
Reasons related to family:
(1) poor psychosocial setting
(2) parents need more support and instruction
Where to refer depends on the child's condition:
(1) if meningitis is a consideration, then the child should be taken to the Emergency Department.
(2) if parental support is the sole reason, then referral to a specialist is appropriate.
