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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 7 of 18: An LP was done during the second hour after admission. Was this appropriate given the clinical signs and the fact that clotting results were not yet available?
YesNo
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