Guess the condition

Question 1

What type of skin rash is associated with meningococcal meningitis

Answer 1

Purpura rash

Question 2

A lumbar puncture is performed on the child and a sample of cerebrospinal fluid (CSF) is obtained for gram stain and microscopic examination
Describe the appearance of the meningococcal bacteria on microscopic examination?

Answer 2

Gram-negative diplococci

Question 3

Meningococcal meningitis is a notifiable disease. Who should be notified?
How soon should the notification be carried out?

Answer 3

Public Health England or local Health Protection Team

Immediately

Question 4

20 year old lean Finnish patient presents with a 4 week history of polyuria and nocturia, polydipsia and weight loss.
Patient is also deficient in vitamin D and also has Addisons disease and Pernicious anaemia.
What is disease?

Answer 4

Diabetes Mellitus Type 1

2-6 week history
<30 year old and lean

Presents with other autoimmune disorder (Addisons, Pernicious anaemia, Coeliac disease, AI thyroid)
Environmental factors:
Dietary constitutents; Enteroviruses (Coxsackie B4); Vitamin D deficiency; cleaner environment may increase type 1 susceptibility