Introduction

A 33-year-old high school physics teacher presents the emergency department with one day of fever, severe headache, and neck pain. She has no medical history and has had no head trauma. Her only medication is an oral contraceptive. The options are A, perform a lumbar puncture, B, order a CT of the head, C, initiate vancomycin and ceftraaxone, D, initiate vanComycin, acyclovir, and dexamethasone, or E, initiate van comycin, ampicillin, and dexAmethasone.