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حمى+اقياء +تصلب النقرة +.......بشو منفكر؟


حمى+اقياء +تصلب النقرة +.......بشو منفكر؟

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اقياء vomiting، حمى Fever، صلابة نقرة Stiff neck، غثيان Nausea، صداع Headache ،قصة ذهاب الى احد المسابح العامة قبل اسبوع....

شو بتعمل,وبشو بتفكر؟؟

المرجع

المراجع عند كتابة الجواب...

mbs2380's picture
by
بعد التخرج

Complicated otitis externa with menengitis?

Next step: NP?

KMG's picture
KMG
طبيب مقيم

I don't think that otitis externa can lead to menegitits in a week. confused
KMG's picture
KMG
طبيب مقيم


what is an NP??

mbs2380's picture
mbs2380
بعد التخرج


LP مو NP Laughing out loud

Embarrased

البزل القطني lumbar puncture

KMG's picture
KMG
طبيب مقيم

اي ها ,هلأ بينت...

so ,your diagnosis is partitially right,and your next step is right also...

and it is meningitis because of the clinical findings ,and from the history of the patient we find that he went to a "swim pool" which makes me think of Naegleria fowleri which con lead to meningitis in one week and can lead to death if the patient untreated ,so the next step that I would make is Gram stain and a CSF exam to make sure of my diagnosis ....

Gram stan in this case would be negative ....

so I will start with rifampicine and mecanazole

mbs2380's picture
mbs2380
بعد التخرج

Quote:
and can lead to death if the patient untreated

in one week also

mbs2380's picture
mbs2380
بعد التخرج


References:made ridiculously simple

The book of our UNI .

mbs2380's picture
mbs2380
بعد التخرج


thx

Buzz_LightYear


Naegleria fowleri

qusei

Quote:
I don't think that otitis externa can lead to menegitits in a week

menengitis the is the most common intracranial complication of otitis media

DAM's picture
DAM

Naegleria is a very rare cause of disease is America. There were only 24 cases of human infection between 1989 and 2000,All of the people who have lived from the parasite were on Ampho B (6 of 24 in the US)
mbs2380's picture
mbs2380
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