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* parental decision
 #133334  
  depdoc - 10/28/06 22:18
 
  An ill-appearing 2-year-old with a fever and stiff neck appears to have meningitis. His parents refuse a lumbar puncture on the grounds that they have heard spinal taps are extremely dangerous and painful.

What are your obligations in this case? How should you proceed?
 
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* Re:parental decision
#533242
  alan - 10/28/06 22:27
 
  go ahead to do LP, the only way to Dx meningitis, no alternative method, and pt has to be treated as emergency after Dx by LP  
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