Lumbar Puncture Flashcards
Acute Bacterial labs and viral meningitis labs
also, herpes and crypto
High WBC, high protein, reduced glucose
High WBC, high protein, normal glucose
Herpes is normal protein and glucose with high WBC
Crypto is high WBC with high protein and reduced glucose
Brain Abscess
ESR usully elevated but nonspecific
S aureuas, toxo in HIV
Epidural abscess
Pain in back
Spinal cord
Evidence of nerve root compression
HSV 1 or 2
Temporal lobe
Hemorrhagic necrosis
Behavior change and seizures
Aphasia, hemiplagia
Histo, aspergillus, candidiasis
Absecesses with intense inflammatory
Crypto
More diffuse with increased ICP and portein
Mucormycosis
Opthalmoplegia with facial numbness and weakness, visual loss
Increased in diabetes
MS diagnosis
LP-CSF oligoclonal bands
POlyfocal deficits without encephalopathy
ADEM
Distinguishing factor is encephalopathy
Multiple gray matter lesions
Adult vs. child brain tumors
Adults - supra…glioma or meningioma
Peds - infratentorial…astrocytoma and medulloblastoma
Idiopathic intracranial hypertension
Overweight adult females
Maybe minocycline
SAH
Most common anterior communicating artery
Pcomm - painful CN 3 palsy
Epidural hematoma
Temporal bone fracture ruptured middle meningeal
CPP
MAP-ICP
Symptoms of elevated ICP
Cushing’s triad - hypertension with bradycardia and irregular respirations
