A 9-year-old boy has been brought to the emergency department by his father who is concerned by his son's recent fever, stiff neck, pain, and nausea. Examination reveals a petechial rash
Which of the following assessment questions by the emergency room physician is most appropriate?
A)
"Is your son currently taking any medications?"
B)
"Has your son had any sinus or ear infections in the last little while?"
C)
"Does your son have a history of cancer?"
D)
"Was your son born with any problems that affect his bone marrow or blood?"
Ans:
B
Feedback:
The most common symptoms of acute bacterial meningitis are fever and chills; headache; stiff neck; back, abdominal, and extremity pains; and nausea and vomiting. Risk factors associated with contracting meningitis include otitis media and sinusitis or mastoiditis. Particular medications, a history of neoplasm, and hematopoietic problems would be unlikely to relate directly to his symptoms of meningitis.
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