CSF Flashcards

1
Q

when is LP indicated?

A
headache
infection
inflammation/cancer of NS/MS/encephalitis
subarach
raised ICP
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2
Q

cancer of CNS on LP

A

cancerous cells in CSF
high WCC
very low glucose

do cytology to confirm cancer cells

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3
Q

GBS on LP

A

normal cell count + glucose

very high protein

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4
Q

subarach on LP

A
high RBC (but not specific as can indicate traumatic tap)
xanthochromia (bilirubin + oxyHb from blood breakdown)
only sensitive after 12h till 2wk
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5
Q

idiopathic intracranial HTN - symptoms + LP findings

A

headache constant + worse on bending
vision changes + papilloedema
high opening pressure

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6
Q

MS - LP

A

oligoclonal bands of IgG not present in serum

indicates production of IgG within CNS

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7
Q

bacterial meningitis - LP

A

everything high apart from glucose

neutrophils

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8
Q

viral infection on LP eg herpes simplex encephalitis

A

modest increase in cells
lymphocytes
normal glucose

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9
Q

TB - LP

A

everything very high - opening pressure, lymphocytes, protein
but very low glucose

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