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En 52-årig patient kommer till akutmottagningen med ambulans. Du är primärjour. Han hittades medvetslös i sitt vardagsrum av en kompis och reagerar vid smärta men har inte vaknat. Enligt hans medföljande kompis har patienten klagat över huvud- och nackvärk sedan tre dagar tillbaka. Patienten har en anamnes av alkoholmissbruk men tar inga mediciner och är annars frisk. Aktuellt: medvetslös patient, RLS 5 (GCS 6). HF 50/minut. BT 175/110, temp 39,5. Neurologiskt: ljusstela pupiller, lokal status viss nackstyvhet. Du misstänker bakteriell meningit. Vilken är din nästa åtgärd? Endast ett svar ska markeras. - Beställer akut DT hjärna- Ger kortison och AB- Ger vätska och AB- Gör LP och ger därefter AB- Tar EKG och gör LP1 p

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