Basics Flashcards

0
Q

Places of infections

A
Sinusitis
Endocarditis 
Pneumonia
Osteomyelitis
Urinary track infection
Skin eruption
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1
Q

Risk factors for immunosuppressants 5

A
Diabetes
Alcoholism
Malignancy
Steroids
Chemo
HIV
DAMN chemo
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2
Q

Which type of bacterial infection causes no change in opening pressure

A

Active neurosyphilis

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3
Q

What distinguishes bacterial meningitis on csf

A

Polymorgonuclear leukocyte

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4
Q

What do you see with hsv in csf

A

Rbc and lymphs

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5
Q

When do you get an lp with infection

A

2 out of 3
Fever
Headache
Mental status

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6
Q

Why do you have to worry about bacterial meningia in you

A

Less obvious youngo

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7
Q

How does strep spread

A
Sudden onset of severe hypertension
Low heart rate
Sever headaches 
Sweating
Nasal stuffiness
fLUSHiNg
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8
Q

Most common bug in bact. Meningitis

A

Strep pneumonia 50%

Neisseria meningitis 25

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9
Q

What is the mortality rate with bacterial meningitis

A

20 percent

1 in 5 of you patients will die

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10
Q

How is bacterial meningitis spread

A

Seeding of leptomeninges

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11
Q

Sources of bacterial meningitis

A

Pneumococcal pneumonia

Neisseria meningitis

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12
Q

Treatment for bacteria meningitis

A

Dexamethason 6 mg IV 6 hr for 4 days

Rochephin
Vancomycin

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13
Q

What is the value of giving dexamethasone 15 min prior to antibiotics

A

Reduces inflammation

Reduces mortality by 50 percent

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14
Q

When do you give ampicillin with bacterial meningitis

A

Immunosuppress etoh diabetes

Neonate a

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15
Q

How much csf is made per minute

A

.5 to 1.0 per min

16
Q

How many taps do you need to feel comfortable to rule out leptomeningal carcinoma

A

3 taps