CSF Appearnace Flashcards
1
Q
Normal CSF: Appearance? White cells? Predominant WC type? Red cells? Protein? Glucose? Opening CSF pressure?
A
Appearance? Clear White cells? Normal Predominant WC type? All mononuclear Red cells? Normal Protein? Normal Glucose? Normal Opening CSF pressure? Normal
2
Q
Viral meningitis CSF: Appearance? White cells? Predominant WC type? Red cells? Protein? Glucose? Opening CSF pressure?
A
Appearance? Clear White cells? Increase Predominant WC type? Mononuclear Red cells? Normal Protein? Normal/ Increase Glucose? Normal Opening CSF pressure? No change
3
Q
Bacterial meningitis CSF: Appearance? White cells? Predominant WC type? Red cells? Protein? Glucose? Opening CSF pressure?
A
Appearance? Cloudy/turbid White cells? Increase ** Predominant WC type? Granulocytes (aka PMNLs) Red cells? Normal Protein? Increase* Glucose? Decrease Opening CSF pressure? Increase (?)
4
Q
Fungal meningitis CSF: Appearance? White cells? Predominant WC type? Red cells? Protein? Glucose? Opening CSF pressure?
A
Appearance? Fibrin web White cells? Increase Predominant WC type? Mononuclear Red cells? Norm Protein? Decrease Glucose? Normal/decrease Opening CSF pressure? No change
5
Q
TB meningitis: Appearance? White cells? Predominant WC type? Red cells? Protein? Glucose? Opening CSF pressure?
A
Appearance? Cloudy and viscous White cells? Increase Predominant WC type? Mononuclear Red cells? Normal Protein? Increase Glucose? * Decrease * Opening CSF pressure? No change
6
Q
Typical CSF pathogens, bacteria in newborns?
A
Group B streptococci
E. coli
Listeria monocytogenes
7
Q
Typical CSF pathogens, bacteria in young children?
A
Neisseria meningitidis
Streptococcus pneumonia
Haemophilus influenzae
8
Q
Typical CSF pathogens, bacteria in teens/adults?
A
Neisseria meningitidis
Streptococcus pneumonia
9
Q
Viral CSF pathogens?
A
VZV Enterovirus HIV HSV Mumps
10
Q
Fungal CSF infection, name one?
A
Cryptococcus neoformans
11
Q
Ink ink stain for…
A
Fungal infection =
Cryptococcus neoformans
12
Q
Acid-fast CSF stain for..
A
TB
Aka Ziehl-Neelsen stain
13
Q
Test for meningococcal meningitis?
A
Glass test for a petechial non-blanching rash
14
Q
Meningitis clinical features?
A
Headache, sore throat and drowsiness Fever Photophobia Neck stiffness Decreased consciousness Petechial purpuric rash Increased ICP
15
Q
When is a lumbar puncture contraindicated?
A
Supratentorial and infratentoral pressure difference
Infection of the skin overlying the needle entry site
