MCQ – 89233


A 16-year-old boy with presents with high-grade fever and chills for 12 days, treated with antibiotics at a local center with minimal response. The child was diagnosed with ADHD at the age of 8 years and on treatment and CBT ever since. O/E there was a faint murmur in the mitral area and some bleeding spots in the nail beds of both upper limbs. What are the two next best steps to manage this child:


Start a broad-spectrum antibiotic stat


Draw blood cultures and then start an antibiotic


Draw blood cultures and do an ECHO, then start empirical antibiotics


Start prednisolone, high dose aspirin, and benzathine penicillin

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