Question 74 · LEK · Meningitis

Unconscious patients suspected of meningitis should be:

  1. A. subjected to lumbar puncture with CSF examination and then treated with antibiotics.
  2. B. examined with CT of the head, and with cerebral edema excluded lumbar puncture with CSF examination should be performed.
  3. C. immediately after obtaining the result of CT of the head empirically treated with antibiotics.
  4. D. subjected to lumbar puncture with CSF examination and if the result is inconclusive, CT of the head should be performed.
  5. E. treated with antibiotics before obtaining CSF for CSF culture.
Hint

In suspected bacterial meningitis every hour of delay worsens the outcome — consider which step must not wait for imaging or CSF.

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