Scenario
A 27 year old previously well woman presents with a 24 hour history of fever and headache. A lumbar puncture is performed.
Cerebrospinal fluid biochemical and microbiological results
Question
a. Describe and interpret her CSF results. (30%) b. Outline your management. (70%)
Answer
FACEM VAQ Exam 2007.2 – Question 8
- Overall pass rate for this question was 42/77 (54.5%).
- The examiners felt that this was a good set of data which would have benefited from a more focused clinical scenario to narrow the management options proposed.
- Good answers identified viral meningitis as the most likely diagnosis with partially treated or early bacterial meningitis being other possibilities.
- Good management answers addressed supportive measures, and discussed the pros and cons of treating with antibiotics depending on clinical factors.
ACEM Fellowship Visual Aid Questions
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