A 82-years-old woman presenting with fever, headache, and neck stiffness. Exam is notable for skin rash, positive kerning’s and Brudzinski’s signs. You suspect bacterial meningitis and waiting for lumbar puncture kit to arrive. What’s the most important next step in management?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: C. Start antibiotics with ceftriaxone, vancomycin and Ampicillin.
✓ مطابق للمصدر
CNS infections.pdf · p. 12
Suspected bacterial meningitis: take blood cultures and start empirical antibiotics immediately — do not wait for the LP. Standard cover is ceftriaxone + vancomycin (+ dexamethasone), and ampicillin is added at extremes of age (she is 82) to cover Listeria.
- A lacks ampicillin, so it misses Listeria in an elderly patient.
- B and D delay treatment.
- المصدر
- CNS infections.pdf · p. 12
MC Approaches.pdf · p. 7 - المحاضرة
- CNS Infections · Neurology · Module C
- ظهر في
- MED42 ♂ EOM C · Neuro bank