Brain abscess Flashcards

1
Q

Give some causes of a brain abscess.

A

Sepsis extending from the middle ear
Trauma
Surgery to the scalp
Embolic events from endocarditis

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2
Q

What is the presentation of a brain abscess?

A

Commonly have raised ICP
- Nausea
- Papilloedema
- Seizures
Headache - dull, persistent
Fever
Focal neurology

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3
Q

What investigations may be carried out to help diagnose a brain abscess?

A

CT
CXR
FBC
EEG
MRI
Blood Cx

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4
Q

What is the management of a brain abscess?

A

Surgery
- Craniotomy and debridement of the abscess
IV antibiotics
- IV cephalosporin + metronidazole
Dexamethasone for raised ICP

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