Question

A 19-year-old university student is brought to the ED with fever, headache, photophobia, and a non-blanching purpuric rash. He is drowsy. Kernig's sign is positive. BP 90/60 mmHg, HR 120 bpm. What is the most crucial immediate management?

Accepted Answer

Intravenous Cefotaxime (or Ceftriaxone)

Answer

Lumbar puncture

Answer

CT head scan

Answer

Intravenous Fluid Bolus (0.9% NaCl)

Answer

Intravenous Dexamethasone

Practice question

A 19-year-old university student is brought to the ED with fever, headache, photophobia, and a non-blanching purpuric rash. He is drowsy. Kernig's sign is positive. BP 90/60 mmHg, HR 120 bpm. What is the most crucial immediate management?