Round 9 (MW) Altered Mental Status

You are working at Clerkship General when the charge nurse comes and grabs you… “Hey doc, we need you in room 2, this kid looks sick…”











Initial Vitals:











BP: 68/40











HR: 128











RR: 22











O2: 99% (Room Air)











Temp: 103.5F











Critical Actions:














* Diagnose Meningitis and Perform Lumbar Puncture











* Give Empiric Antibiotics











* Treat Septic Shock











* Give Steroids











* Give Prophylaxis to Close Contacts














Check Out:











Pearson Ravitz Webinar – “Disability Insurance 101 for Residents”











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