Intracranial Infections Case 3
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Question 1 of 4
1. Question
A 4-week-old baby girl is brought into the ED by her mother who is concerned that she is off her feeds and less active than normal.
She was born at 38/40, following spontaneous vaginal delivery, and went home from hospital with mum the next day.
She seems floppy, but cries when examined:
- Chest is clear
- CRT <2 seconds
- Temp 34.7ºC
She has a few non-blanching spots, which mum states were not there this morning.
You are concerned about the possibility of bacterial meningitis.
After initial ABC assessment, what is your immediate course of action?
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Question 2 of 4
2. Question
How much fluid would you give to this infant?
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Question 3 of 4
3. Question
You ask the nurse to prepare a trolley to perform an LP. She comes back to you with blood results showing a Normal CRP and low peripheral WBC count. Does this alter your decision to perform an LP?
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Question 4 of 4
4. Question
You are concerned that the administration of antibiotics before an LP will reduce the chances of identifying the causative organism.
What else can you request aside from a gram stain and cultures?
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