The Rational Clinical Examination
David L. Simel, Drummond Rennie
Rose Hatala, John Attia, Jeffrey G. Wong, Stephen Bent
meningitis, upper respiratory infections
"A previously healthy 41-year-old woman presents to the emergency
department with fever and a headache. She has had symptoms of an
upper respiratory tract infection for the last week. During the
previous 24 hours, she has developed a fever and a frontal headache.
In the emergency department, her temperature is 38.5°C (101.3°F).
On examination, she has neck stiffness and jolt accentuation of
her headache but no neurologic abnormalities...."
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