A 21-year-old woman presents to the emergency department with fevers, headache, neck stiffness, and mild confusion over the past several days. Her temperature is 38.0 C (100.4 F), pulse 106, and blood pressure 116/74. On physical exam she looks ill, and her neck is stiff. Her neurologic exam is normal. A lumbar puncture reveals 105 WBC and 1240 RBC in tube #1 and 126 WBC and 1360 RBC in tube #4; all white cells are lymphocytes. The CSF protein is 68 and the glucose is 78. This patient most likely has which of the following?
1.HSV encephalitis
2.Pneumococcal meningitis
3.Subarachnoid hemorrhage
4.Subdural hematoma
Answers: 3
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You are assessing an 86-year-old postoperative patient who has an unexpressive, stoic demeanor. when you enter the room, the patient is curled into the fetal position and your assessment reveals that his vital signs are elevated and he is diaphoretic. you ask the patient what his pain level is on a 0-to-10 scale that you explained to the patient prior to surgery. the patient indicates a pain level of βthree or so.β you review your pain-management orders and find that all medications are ordered prn. how would you treat this patient's pain?
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A 21-year-old woman presents to the emergency department with fevers, headache, neck stiffness, and...
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