Encephalitis Flashcards
1
Q
Encephalitis gen char
A
def: inflammation of the brain parenchyma
cause: arthropod-borne - west nile - st. louis - la crosse Herpes - HSV-1 varicella-zoster epstein-barr
2
Q
Encephalitis clin
A
SS: abnormalities in brain function fever HA N/V signs outside of CNS
Eval: PCR/cultures CSF CT/MRI EEG Brain biopsy
txt: acyclovir (antiviral) supportive seizures immobilize aspiration/DVT prophylaxis
lasts weeks to months
3
Q
What is important to rule out with Encephalitis
A
HSV encephalitis
- hemorrhagic encephalitis
- respiratory symptoms followed by encephalitis symptoms
evals for this:
MRI, EEG
LP with red blood cells and not traumatic tap
HSV PCR on CSF
4
Q
What will be diff CSF for Meningitis & Encephalitis
A
Normal: none
Bacterial: neutrophils
Viral: lymphocytes
Encephalitis: lymphocytes
5
Q
What will be protein CSF for Meningitis & Encephalitis
A
Normal: 20-45
Bacterial: 100-500
Viral: < 100
Encephalitis: <150
6
Q
What will be glucose CSF for Meningitis & Encephalitis
A
Normal: 50-80
Bacterial: <40
Viral: nl
Encephalitis: nl
