A 19-year-old student presents with headache, fever and photophobia. On examination he has a non-blanching petechial rash on his trunk and neck, capil...

Question

A 19-year-old student presents with headache, fever and photophobia. On examination he has a non-blanching petechial rash on his trunk and neck, capillary refill of 4 seconds and BP 95/60 mmHg. What is the single most appropriate immediate management in primary care?

Accepted Answer

Give intramuscular Benzylpenicillin and arrange urgent transfer to hospital

Answer

Send urgently to hospital without treatment

Answer

Give oral Paracetamol and observe

Answer

Start oral Amoxicillin and review the next day

Answer

Take blood cultures and wait for results before treating

uk-plab-1 MCQ (SBA): Meningococcal sepsis

A 19-year-old student presents with headache, fever and photophobia. On examination he has a non-blanching petechial rash on his trunk and neck, capillary refill of 4 seconds and BP 95/60 mmHg. What is the single most appropriate immediate management in primary care?