Correct!
2. CT/MRI of the head

The CT of the head was verbally reported as normal. Consideration was given to meningitis and a lumbar puncture was performed. The laboratory results are given in Table 3.

Table 3. Results from lumbar puncture.

• White blood cells: 139 cells/ml (normal <5 cells/ml) with 59% neutrophils
• Glucose: 71 mg/dL (blood glucose 101 mg/dL, normal 50-80 mg/dL)
• Protein: 114 (normal 15-45 mg/dL)
• Gram stain: negative

What should be done next? (Click on the correct answer to be directed to the fourth of six pages)

1. After obtaining blood cultures begin empiric antibiotics including coverage for meningitis
2. Review the head CT/MRI of the head with the radiologist
3. Transesophageal echocardiography
4. 1 and 3
5. All of the above

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