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CASE HISTORY
Hb 11.5, WCC 4.3, Platelets 50.
Na 136, K 3.4, urea 6.2, creatinine 138. Diagnosis: meningococcal septicaemia.
Bloods sent for FBC, biochemistry, U&E, clotting.
(click for larger graph)
Diagnosis: meningococcal septicaemia.
Bloods sent for FBC, biochemistry, U&E, clotting.
(click for larger graph) Diagnosis: meningococcal septicaemia.
Bloods sent for FBC, glucose, biochemistry, U&E, clotting.
15 year old boy non-specifically unwell for a day. Woke with a widespread purpuric rash and taken straight to hospital.
(click for larger graph)
ED assessment:
Temp 39.0, HR 120, RR 20, BP 90/60.
Alert no meningism; purpuric rash spreading.
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QUESTIONS ON CASE 4
 
Q 6 of 18: Is treatment sufficient?
(please refer to graph)
YesNo 
CORRECT
: Antibiotics given as appropriate, but volume resuscitation should have started with a bolus of 20 ml/kg of fluid over 5-10 minutes with review and repeated if response inadequate.
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Further Information
 click image for Protocol Document
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