female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C. She has no papilledema. A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods. Photo includes CSF stain with short gram-positive rods. Why was the CSF obtained? What are the dangers with collecting this type of specimen? What tests would you run?
female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C. She has no papilledema. A lumbar puncture is performed, and a Gram stain of the CSF obtained shows many short, gram-positive rods. Photo includes CSF stain with short gram-positive rods. Why was the CSF obtained? What are the dangers with collecting this type of specimen? What tests would you run?
Chapter14: Seeing And Hearing
Section: Chapter Questions
Problem 1.2CS
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- Clinical history: A 33-year-old female dairy farmer develops a severe headache and neck stiffness. On physical examination, her temperature is 38.2°C. She has no papilledema. A lumbar puncture is performed, and a
Gram stain of the CSF obtained shows many short, gram-positive rods. Photo includes CSF stain with short gram-positive rods.- Why was the CSF obtained?
- What are the dangers with collecting this type of specimen?
- What tests would you run?
- Does the fact that the patient was a dairy farmer give anything of value to the diagnosis?
- What is the most likely diagnosis and treatment?
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