‏ intro ‏ case ‏ background ‏ making diagnosis ‏ pathophysiology ‏ Management Principals ‏ Management Algorithm ‏ Development ‏

case1
case2
case3
case4
case5
case6
case7 case8 case9

CASE HISTORY


2.5 year old boy admitted with purpura and fever.


Paediatric assessment:
Temp 39.3, Pulse 134, RR 40, CRT 6 seconds, BP unrecordable, femoral pulses present but weak.
Cyanosed, Saturation 75% in air.  Widespread creps.
GCS 9/15, Neck stiffness+
Purpuric rash on chest.
Bloods sent for FBC, clotting, U&E, and culture


Diagnosis:Meningococcal meningitis.


Treatment:Antibiotics intravenously.
Fluids 40 ml/kg colloid in 2 boluses and 10 ml/kg crystalloid over 1 hour, then maintenance fluids.


Some improvement of CRT so left on the ward.


  help

QUESTIONS ON CASE 3


  
  
Q 2 of 14: Abnormal signs or symptoms?

YesNo

LOOK IT UP


New01.jpg
New02.jpg
New03.jpg
New04.jpg




New05.jpg




New06.jpg
New07.jpg
New08.jpg


New09.jpg



New10.jpg




New11.jpg