Surprising

Nervous System & Special Senses


Step 1: View Clinicals

{"ops":[{"insert":"A 26-year-old woman presents with diplopia, since waking up a couple of hours ago.\n \nShe also complains of a worsening retro-orbital headache which started 3 days ago, and fever since 4 days ago. Self-medication with acetaminophen controlled the fever, but did not relieve the headache.\n\nShe was diagnosed with type I diabetes mellitus 8 years ago, and is on insulin therapy. Her glycemic control has been suboptimal due to poor compliance. Her most recent HbA1c assay is 7.5%, dating from 1 month ago.\n \nHer history is otherwise unremarkable. A random capillary glucose is found to be 306 mg\/dL (17 mmol\/L).\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-236_en.png"}},{"insert":"\n"}]}

Step 2: Order Relevant Investigations

1. Complete blood count
2. Contrast CT Brain
3. Blood cultures
4. Lumbar puncture

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