Q:

A 33 year old man presented to the GP with history of headaches and photophobia. The GP examines him and finds a rash and is now ringing you at the hospital for advice. What would you advice the GP?

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A 33 year old man presented to the GP with history of headaches and photophobia. The GP examines him and finds a rash and is now ringing you at the hospital for advice. What would you advice the GP?


  1. Send pt home
  2. Start IV benzylpenicillin
  3. Conduct LP
  4. Start IV ceftriaxone

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The key is B. Start IV benzylpenicillin. [Before hospitalization IV benzylpenicillin. In hospital

Ceftriaxone can be given but not in calcium containing fluid instead give Cefotaxime (NICE). According to

OHCM hospital management is Cefotaxime if <55yrs and Cefotaxime + Ampicillin if >55yrs ].

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