Question

A 32-year-old man presents with acute onset severe headache, photophobia, and neck stiffness. GCS 15. No focal deficits. CT head within 6 hours is normal. What is the next best step?

Accepted Answer

Lumbar puncture for xanthochromia after 12 hours

Answer

Discharge with analgesia

Answer

Start oral antibiotics

Answer

MRI brain urgently

Answer

Start oral steroids

Practice question

A 32-year-old man presents with acute onset severe headache, photophobia, and neck stiffness. GCS 15. No focal deficits. CT head within 6 hours is normal. What is the next best step?