Basics Flashcards
Places of infections
Sinusitis Endocarditis Pneumonia Osteomyelitis Urinary track infection Skin eruption
Risk factors for immunosuppressants 5
Diabetes Alcoholism Malignancy Steroids Chemo HIV DAMN chemo
Which type of bacterial infection causes no change in opening pressure
Active neurosyphilis
What distinguishes bacterial meningitis on csf
Polymorgonuclear leukocyte
What do you see with hsv in csf
Rbc and lymphs
When do you get an lp with infection
2 out of 3
Fever
Headache
Mental status
Why do you have to worry about bacterial meningia in you
Less obvious youngo
How does strep spread
Sudden onset of severe hypertension Low heart rate Sever headaches Sweating Nasal stuffiness fLUSHiNg
Most common bug in bact. Meningitis
Strep pneumonia 50%
Neisseria meningitis 25
What is the mortality rate with bacterial meningitis
20 percent
1 in 5 of you patients will die
How is bacterial meningitis spread
Seeding of leptomeninges
Sources of bacterial meningitis
Pneumococcal pneumonia
Neisseria meningitis
Treatment for bacteria meningitis
Dexamethason 6 mg IV 6 hr for 4 days
Rochephin
Vancomycin
What is the value of giving dexamethasone 15 min prior to antibiotics
Reduces inflammation
Reduces mortality by 50 percent
When do you give ampicillin with bacterial meningitis
Immunosuppress etoh diabetes
Neonate a