MedBugs: SAQ #638

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Case: Fever and headache

A 27 year old female presents to ED with a fever and headache. She has just returned from Kenya after a 2 week holiday.

Her vital signs are:

HR 110 bpm
Sats 96 % on air
BP 100/60 mmHg
Temp 38.6 °C

1. List (4) differential diagnoses and for each diagnosis please list (2) supporting features on history or examination 12 marks

A VBG and FBE are performed and shown below :

pH 7.28
CO₂ 30
HCO₃ 18
Lactate 4.0
BSL 10
pO₂ 50

Hb 70
MCV 80
Plt 150
WCC 18.5

2. What is the most likely diagnosis? 1 mark

3. State your (5) immediate steps in the management of this patient. 5 marks

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Case: Fever and headache

1. List (4) differential diagnoses and for each diagnosis please list (2) supporting features on history or examination 12 marks

2. What is the most likely diagnosis? 1 mark

3. State your (5) immediate steps in the management of this patient. 5 marks

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