Cns Tb Flashcards
1
Q
Presumptive case
A
Features of meningitis in form of fever , headache , neck rigidity and vomiting with or out altered sensorium , ass focal deficits for a period of 5 days or more
2
Q
Diagnosis
A
Lp - lymphocytic pleocytosis Low serum : csf glucose High protein Hiv/cxray/ ct Mri brain with contrast- hydrocephalus
3
Q
Tests in csf fluid
A
India ink , cryptococcal Ag
Culture, stains, gene xpert
Ada
4
Q
Rx
A
2 hrze and 7 hre
Steriids- hiv negative pts 4wks min
Pos- only in life threatening
5
Q
Sx
A
Hydrocephalus with raised icp
6
Q
Complications
A
Hydrocephalus- shunt
Stroke- steroid
Arachnoiditis
Seizure