CWH C1374521

 A

1 mo M 

reduced conscious level, lethargy, “conjugate downgaze”, reduced PO, plan includes IV cef/amox + aciclovir, CT, hourly neuro obs), three solid DDx are:

1. Meningoencephalitis (viral eg HSV, or bacterial)

2. Raised intracranial pressure / intracranial bleed or mass (incl hydrocephalus)

3. Toxic/metabolic cause (eg ingestion, hypoglycaemia, electrolyte disturbance)

4. NAI