6) Infecciones del SNC Flashcards

1
Q

meningitis bacterianas

etiologia Neonatos

A

Gram (-)

STREPTOCOCUS DEL GRUPO B

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2
Q

meningitis bacterianas

etiologia niños

A

Haemofilus Influenzae

Nisseria Meningitidis

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3
Q

meningitis bacterianas

etiologia adultos

A

Sptreptococus Pneumoniae

Nisseria Meningitiids

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4
Q

meningitis bacterianas

etiologia Ancianos

A

gram (-)

Listeria Monocitogenes

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5
Q

manifestaciones CLINICAS MENINGITIS

BACTERIANA

A
rigides de nuca
nauseas 
vomitos
sudoración
mialgias
Erupciones cutáneas (MENINGOCOCO)
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6
Q

manifestaciones CLINICAS MENINGITIS

VIRALES

A

sD INFECCION INTESTINAL
MIALGIAS
ANOREXIA
ASTENIA

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7
Q

meningitis virales etiologia

A

enterovirus
VIH
Vherpes

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8
Q

meningitis cornica etiologia

A

TBC
HONGOS
CARCINOMATOSIS

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9
Q

Meningitis Química

Etiologia

A

HSA
ALBUMINA MARCADA
CRANEOFARINGIOMA
METROTEXATO INTRATECAL

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10
Q

MENINGITIS +COMPROMISO DE PARES CRANEANOS

A

Meningitis por TBC

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11
Q

Sd Parameningeos

A

ABSESOS INTRAENCEFALICOS
EMPIEMA SUBDURAL
ENCEFALITIS

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12
Q

En quienes se manifiesta la meningitis de forma oligosintomatica

A

neonatos y ancianos

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13
Q

PRUEBAS EN LCR meningitis bacteriana

A

Test de Latex

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14
Q

pruebas en LCR meningitis Cronica

A

ADA. para TBC

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15
Q

CONTRAINIDCACIONES PL

A

Hipertensión Intracraneal, alt coagulabilidad e infection en la zona de puncion

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16
Q
LCR 
turbio
células 1000 a 5000
Pred Neutrofilos >90%
Prot >200mg/dl
Glucosa <50mg/dl
A

MENINGITIS PIOGENA O BACTERIANA

17
Q
LCR
CLARO
Cels 10 a 1000
Pred Mononuclear >50% o PMNs <20%
Prot 45 a 200 mg/dl
Glucosa NORMAL
A

MENINGITIS VIRALES

18
Q
LCR
Levemente turbio
Cels 100 a 1000
Predominio Mononuclear
Prot >200mg/dl
Glucosa Disminuida
A

Meningitis Cronica

19
Q
LCR
Claro 
Cels 10 a 1000
Pred Neutrofilos
Prot 45 a 200
Glucosa NORMAL
A

Meningitis Parameningea

20
Q

profilaxis de meningococo

A

Ciprofloxacino

500 mg once

21
Q

serotipos de Meningococo cubiertos por la vacuna

A

A,C,Y ,W-135

22
Q

Sd meningeo

A
Cefalea
fiebre
nauseas y vomitos
meningismo
(+)
lasegue, brudzinsky, kernig
23
Q

Tto antibiotico empirico meningitis

A

Comunitaria
Cefalospirina de 3ra + Ampicilina

Hospitalaria
Cefalospirina de 3ra + Vancomicina

+/- DEXAMETASONA

24
Q

CUADRO CLINICO ENCEFALITIS

A
Alt Conciencia
fiebre
cefalea
CAMBIOS DE PERSONALIDAD
Crisis epilepticas
Focalidad neurologica
25
Q

tto de la encefalitis

A

aciclovir 14 dias 10mg/kg/8hrs

foscarnet si resistencia

26
Q

tto encefalitis por CMV

A

ganciclovir 5mg/12hrs

27
Q

DEMENCIA RAPIDAMENTE PROGRESIVA

A

Enf por Priones

28
Q

mutación del gen relacionado con la enfermedad por priones

A

PRP Cr 20

29
Q
  • DEMENCIA rapidamente progresiva
  • ataxia cerebelos
  • mioclonias
A

ENF por Priones

30
Q

LCR de end por priones

A

Proteina 14-3-3

31
Q

tipo de degeneración asociada a la enfermedad por priones

A

Deg Espongiforme

32
Q

-DEMENCIA rapidamente progresiva
-ataxia cerebelos
-mioclonias
+TRASTORNOS PSIQUIATRICOS

A

Enf vacas locas