Brain Inflammation Flashcards
When I am trying to determine what to do next for brain infections, what will be the two presenting signs?
fever and headache
also, light noise N/V
3 differentials for brain infections?
meningitis, encephalitis, brain abscess
fever, headahce and what other symptom for meningitis?
other for abscess?
encephalitis?
stiff neck
focal neurological deficit
altered mental status
What virus to remember causing encephalitis?
HSV
what is the fails mnemonic mean for lumbar puncture?
if any is positive it is not safe to do it.
Focal neuro deficiti
ams
immunocompromied
lesion over site we would do the puncture
seizures
if it isnt safe to do lp, what do you do?
blood culture is option, abx, then non contrast CT to look for lesion and then if it is negative do lp.
what is the empiric treatment for bacterial meningitis?
centriaxone, vancomycin and steroids
Aids patient gets what kind of meningitis?
cryptococcal
what drug to give for crypto meninigtis?
RMSF or Lyme meninigtiis?
TB meninigtis?
amphoteicin
ceftriaxone
RIPE
what are you thinking if lymphocytes on lumbar puncture?
how to diagnose?
treat?
encephalitis
HSV PCR
acyclovir
All other encephalitis causes are treated how?
supportive
if you do the CT and find mass, what next?
if the person is aids, treat for toxo
if not, biopsy to see if it is abscess or cancer
what to give for prophylxis for neiseria menintitis?
rifampin
rapid detorization menintis causes by?
3 bugs causing neonatal?
Most common cauase of menitiis?
neiseria, petiechia
list mono, e coli and group b strep
strep pneumonia
