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A 14-year-old high school student with fever, chills,
and severe headache is seen in an urgent care clinic. He felt
nauseated and vomited before reporting to the clinic. At the
clinic, his temperature is 104°F; he has neck rigidity and
complains of back pain. Some small petechial spots are noted on his
chest and back and in the mouth. Blood is drawn for aQuestion:
A 14-year-old high school student with fever, chills,
and severe headache is seen in an urgent care clinic. He felt
nauseated and vomited before reporting to the clinic. At the
clinic, his temperature is 104°F; he has neck rigidity and
complains of back pain. Some small petechial spots are noted on his
chest and back and in the mouth. Blood is drawn for aThis problem has been solved!See the answerSee the answerSee the answer done loading
A 14-year-old high school student with fever, chills,
and severe headache is seen in an urgent care clinic. He felt
nauseated and vomited before reporting to the clinic. At the
clinic, his temperature is 104°F; he has neck rigidity and
complains of back pain. Some small petechial spots are noted on his
chest and back and in the mouth. Blood is drawn for a complete
blood count (CBC) and blood glucose, and lumbar puncture is
performed. Cerebrospinal fluid (CSF) is collected sequentially in
three sterile tubes and examined.
Blood Results
White cell count: 25 ´ 109/L
Differential: 80% neutrophils, 10% lymphocytes, 10%
monocytes
Glucose: 95 mg/dL
CSF Results
CSF pressure: Increased
Gross appearance: All tubes equally cloudy, not
bloody
Glucose: 15 mg/dL
CSF white cell count: 12.0 ´ 109/L; 90%
neutrophils
Gram stain: Many Gram-negative cocci in pairs, some
intracellular
Q . How can this patient’s diagnosis be differentiated from
other
similar clinical presentations?
answer
Expert Answer Who are the experts?Experts are tested by Chegg as specialists in their subject area. We review their content and use your feedback to keep the quality high.Answer Present medical history Signs and symptoms include; 1. Hyperthermia 2. Severe headache 3.…View the full answerPrevious question Next question
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