CNS Flashcards
1
Q
Meningism symptoms
A
Headaches
Photophobia
Neck stiffness
Malaise
Fever
Non blanching meningoccocal rash
2
Q
Neonates 0-3 months
A
- Group B strep. agalacticae
- E. Coli
- Listeria
3
Q
Infants 3m - 6 Y
A
- S. pneumoniae
- N. meningitidis
- H. influenzae
4
Q
Adult 6 - 60
A
S. pneumo + N. meningitidis
5
Q
Elderly 60
A
- S. pneumonia
- N. meningitidis
- Listeria - found in cheeses - gram positive bacillus
6
Q
Viral + Bacteria meningitis
A
Bacterial more severe less common
Viral - less severe more common
7
Q
Most common cause of meningitis
A
- Enterovirus - herpes simplex virus 1, cmv and HIV
- Coxsackie virus and Echovirus - most implicated in viral meningitis
8
Q
Encephalitis
A
- Infection of cerebral cortex
- Most common cause - is viral
- HSV1
- Tx - IV acyclovir
9
Q
CSF analysis for bacterial meningitis
A
- CSF is yellow
- Increased Neutrophils
- Glucose is more than 50% of serum glucose
10
Q
Viral meningitis CSF for meningitis
A
- Clear gin CSF
- Increased lymphocytes
- Glucose is 60% of serum glucose
11
Q
TB + Fungi CSF for meningitis
A
- Yellow fibrous CSG
- Increased lymphocytes
- <50% serum glucose
12
Q
N. meningitidis is what type of bacteria
A
Gram - diploccus
13
Q
Strep pneumoniae meningitis
A
- Causes meningitis in adults and elderly
- Gram-positive diplococcus - optochine sensitive
14
Q
Empirical treatment for meningitis
A
IM benzylpenicillin STAT
Then in hospital get main treatment
IV ceftriaxone or Cefotaxime + IV dexamethasone 12 hours within
15
Q
If listeria suspected?
A
IV amoxicillin
