Question

A 19-year-old student presents with fever, headache, photophobia and a non-blanching purpuric rash on the trunk. He is drowsy with a Glasgow Coma Scale of 13. What is the most appropriate immediate management in primary care before transfer to hospital?

Accepted Answer

Administer intramuscular Benzylpenicillin and arrange urgent blue-light transfer

Answer

Give oral Paracetamol and arrange routine ambulance transfer

Answer

Observe overnight and review in the morning

Answer

Start oral Amoxicillin and refer within 24 hours

Answer

Do nothing until blood tests confirm the diagnosis

Practice question

A 19-year-old student presents with fever, headache, photophobia and a non-blanching purpuric rash on the trunk. He is drowsy with a Glasgow Coma Scale of 13. What is the most appropriate immediate management in primary care before transfer to hospital?