Lecture 18: Nervous System Flashcards
True or False: There is NF in your Nervous System
False - there is not!
____: Inflammation of brain parenchyma
____: Inflammation of spinal cord
Encephalitis
Myelitis
____: Localized pyogenic infection within brain
Brain Abscess
___: Inflammation of the meninges resulting from an infection in subarachnoid space
Meningitis
Most common cause of meningitis?
Viruses
- Bacteria is less rare
True or False: Tetanus mimics some s+s of meningitis
True
True or False: Meningitis occurs more frequently than encephalitis
True
What’s the difference between Septic (Purulent) Meningitis vs. Aseptic?
Septic
- Can cultivate organism
- Bacterial meningitis
Aseptic
- Non-pyogenic
- UK cause
- Usually infectious (viral!)
True or False: Bacteria and Viruses often cause acute meningitis while microbes often cause Chronic Meningitis
True
True or False: The course of bacterial meningitis can be fulminant
True
___ is a major pre-disposing factor for acute bacterial meningitis
Age
What is the most common mechanism for acquiring meningitis?
A. 1 invasion of CNS s/p infection of blood
B. 2 invasion of CNS s/p infection of blood
B. 2 invasion of CNS s/p infection of blood
How does meningitis enter Sub-arachnoid space?
Sites of minimal resistance
What is effect of direct entry of meningitis?
Damage to CNS integrity
In the case of brain abscesses, there is contiguous spread along ___ channels or ___ infection
vascular; parameningeal
______: a system used by neurotoxins, allows for transport system to and from neuron’s cell
Retrograde axoplasmic flow
Three most common sx of acute bacterial meningitis in NON-neonates (adults)?
- Fever
- Meningismus
- photophobia
- stiff neck
- headache - Altered mental status
Three types of rashes that may be seen with meningitis?
Maculopapular
Vesicular
Pupuric
- S. pneumonia
- N. meningitis
- H. Influenza
True or False: In Infants, bulging of fontanel is a clinical manifestation of acute bacterial meningitis
True
- Also: fever, irritability, inactivity, poor feeding
A newborn/neonate has acute bacterial meningitis. Which three organisms may be the culprit?
- E. coli K1
- S. agalactiae (strep B)
- Listeria monocytogenes
An infant-child has acute bacterial meningitis. Which three organisms may be the culprit?
- Strep pneumo
- H. Influenza (Type B)
- Neisseria meningitis
Which organism may cause acute bacterial meningitis in all groups except newborns?
Streptococcus pneumoniae
S. pneumonia and Listeria monocytogenes may cause acute bacterial meningitis in…
A. Elderly
B. Kids/Teens/Adults
C. Infants
D. Newborns
A. Elderly
S. pneumonia and N. meningitidis can cause acute bacterial meningitis in…
A. Elderly
B. Kids/Teens/Adults
C. Infants
D. Newborns
B. Kids/Teens/Adults