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Review Question - QID 213474

Meningitis Presentation Physical exam QID: 213474 (M2.OMB.19.4876)
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QID 213474 (Type "213474" in App Search)
A 17-year-old man presents to the emergency department with a fever and a stiff neck. His symptoms started last night and have been worsening. He is generally healthy and is not up to date on his vaccinations. His temperature is 102°F (38.9°C), blood pressure is 122/77 mmHg, pulse is 110/min, respirations are 17/min, and oxygen saturation is 98% on room air. Physical exam is notable for worsening of his headache with rapid alternating movements of the head and a rash as seen in Figure A. Which of the following is the most likely etiology of this patient’s symptoms?
  • A
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  • A