Meningitis and brain abscess Quiz: Ace Your Exams
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A 30-year-old man presents to the emergency department for evaluation of headache. For the past week, the patient’s head pain has been gradually intensifying and worsens with coughing or straining during a bowel movement. Nausea is present, along with several episodes of nonbilious emesis today. Blurry vision is noted bilaterally. Past medical history is noncontributory aside from a recent episode of a right otitis media for which oral amoxicillin was prescribed. However, the course was not completed due to nausea. Temperature is 39.0°C (102.2°F), pulse is 68/min, respirations are 8-10/min and are irregular, and blood pressure is 140/85 mmHg. Physical examination reveals bilateral papilledema and drift in the left upper extremity. Reflexes are normal in both upper and lower extremities. Which of the following is the most appropriate next step in management?
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