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Review Question - QID 214979

Meningitis Evaluation Lumbar puncture for CSF studies QID: 214979 (M1.OMB.4696)
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QID 214979 (Type "214979" in App Search)
A 48-year-old man is brought to the emergency room due to fever, headache, altered mental status, and vomiting for the past 24 hours. He has a history of hypertension and diabetes, well controlled on oral medications. His temperature is 102.6°F (39.2°C), blood pressure is 130/80 mmHg, pulse is 110/min, and respirations are 15/min. The patient is alert but disoriented. Cardiopulmonary exam is unremarkable, however there is marked inability to flex the neck forward. His white blood cell count is 21,000/mm^3, and his serum creatinine is 0.8 mg/dL. After blood cultures are drawn, a CT scan is obtained which is shown in Figure A. Which of the following is the next best step of management for this patient?
  • A
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  • A