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An unarousable medical student. q) A 22-year-old medical student is brought to the emergency department after being found unarousable for his biochemistry final. He had complained of a severe headache the night before. His temperature is 104 F. Physical examination reveals nuchal rigidity and petechiae over both legs. Chest x-ray films are unremarkable. Everything reveals no drug abuse. After funduscopic examination, a lumbar puncture is performed. The CSF appears cloudy. Laboratory studies on a CSF sample show WBCs....................................8000/mm3 mostly neutrophils on CBC Protein.................................8.0 g/L Glucose................................0.3 g/L Plasma glucose/CSF glucose < 0.5 On microscopic examination, no bacterial or fungal organisms are detected in the CSF. Which of the following is the most likely bug? 1-EBV 2-CMV 3-Toxoplasmosis 4-Listeria 5-Group B strep 6-E-coli 7-Meningococcus 8-Strep. Pneumo

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Subject: Tommy's Concepts

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An unarousable medical student.
q) A 22-year-old medical student is brought to the emergency department after being found unarousable for his biochemistry final. He had complained of a severe headache the night before. His temperature is 104 F. Physical examination reveals nuchal rigidity and petechiae over both legs. Chest x-ray films are unremarkable. Everything reveals no drug abuse. After funduscopic examination, a lumbar puncture is performed. The CSF appears cloudy. Laboratory studies on a CSF sample show
WBCs....................................8000/mm3 mostly neutrophils on CBC
Protein.................................8.0 g/L
Glucose................................0.3 g/L
Plasma glucose/CSF glucose < 0.5
On microscopic examination, no bacterial or fungal organisms are detected in the CSF. Which of the following is the most likely bug?
1-EBV
2-CMV
3-Toxoplasmosis
4-Listeria
5-Group B strep
6-E-coli
7-Meningococcus
8-Strep. Pneumo

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