CASE STUDY• 18 yrs old• Law student• Studying for first exams• Generalised severe headache- 6/10 intensity- Worse with movement- Not helped by paracetamol/ibuprofen• Nauseated + 1 vomit• Light feels uncomfortable• Muscle aches• Feeling hot/shivery• Bacterial meningitis aged 9• No regular medicines• No significant family history• Social history:- Lives in University halls- Parents in Glasgow with 2 dogs- Non-smoker- Denies illicit drug use- No recent travel or bites• Looks unwell• Drowsy and confused• Opens eyes to voice- flushed cold, blue peripheries tachycardic heart sounds normal soft abdomen chest clearneck stiffness moving all 4 limbs diagnosis

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