all should participitate

[Euphoria]

hi , everyone....it was very longtime....im miss our forum


let us enjoy e this case

case study:


25 year old male patient presents to the emergency room complaining of high grade fever that started around 8 hours ago. It is associated with severe and diffuse headache. He could not tolerate light and he had to leave his work in Alharam this afternoon. He was scared when he noticed severe pain and stiffness in his neck as per his brother who came with him. The patient was so lethargic and not able to give clear and proper answers. Initial vital signs in the emergency room were: Temp, 38.7C, H.R, 120/min, R.R, 24/min, BP, 95/65 mmHg, oxygen sat 92% on room air

whts most likely Dx?


Can you say that the absence of all of these: fever, nuchal rigidity
and altered mental status exclude the diagnosis of meningitis?


**L.P, CT-scan of the head and start antibiotic therapy,,. What FIRST ??
What antibiotics were you thinking of? Would you consider dexamethasone for this patient?




>>>>>

[Mark____]

40mg of CC and a cold compress and he'd be fine.
Long live ER!

[Lexie]

Ah the wonderful world of PBL, the reason I did not apply to Glasgow.
I mean I know everywhere has a bit of it but didactic is much better.

As for patient, don't think you can exclude meningitis unless skin completely clear...?

actually no idea.