You think your headache is bad...Give this week's quizzER a try!
A 21-year-old college student is brought by her roommate to the ED. The roommate states that earlier in the day the patient complained of a severe headache, stiff neck and photophobia. On their way to the ED, the roommate states that the patient was confused. Her vital signs are BP 110/80 mm Hg, HR 110 beats per minutes, RR 16 breaths per minute, and temperature 102°F. What is the next step in the management of this patient?
a. Start empiric antibiotics, non-contrast head CT prior to performing lumbar puncture
b. Order a non-contrast head CT and start antibiotics once the results are back
c. Give 1 gram of acetaminophen, start fluid hydration and perform a lumbar puncture
d. Perform a lumbar puncture and start antibiotics once the results are back
e. Order a non-contrast head CT, perform LP, then start antibiotics
Please submit your answer in the "comment" section. The person with the most correct entries at the end of the month will receive a copy of the book PreTest Emergency Medicine.
For more information about the contest, please click here.
quizzER is a weekly contest consisting of a question selected from various areas of emergency medicine that are central to the education of medical students and residents in training. For more information please refer to the following link.