bose
Forum Senior
Topics: 33
Posts: 162
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20 yr old in ER for severe headache and fever for last 3 days. CT scan of head shows ring-enhancing lesion in frontal lobe and air-fluid level in frontal sinus. What is the next best step in management?
a) Ceftriaxone alone
b) Cefuroxime + Metronidazole
c) Metronidazole alone
d) Ampicillin alone
e) Ampicillin + Metronidazole
f) Ceftazidime alone
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| dev
Forum Guru
Topics: 70
Posts: 1,794
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e-ampi+metro
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| ayeshah_l
Forum Elite
Topics: 29
Posts: 284
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i didn't get it , what is it?
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| bose
Forum Senior
Topics: 33
Posts: 162
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This is classic frontal lobe cerebral abscess. Mostly originating from paranasal sinuses. MC organisms are Streptococcus and Anerobes. So answer is b - cefuroxime + metronidazole.
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