mening & lp Flashcards

1
Q

symptoms of meningitis

A

Severe headacheStiff neck (meningismus)Fever and chillsMental state changesDecreased consciousnessNausea and vomitingSensitivity to light (photophobia)Presenting symptoms in infants and children:Bulging fontanellesPoor feeding or irritabilityRapid breathingUnusual posture, with the head and neck arched backwards

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2
Q

Iinvestigations of meningism

A

CSF examinationGram stain, other special stains such as Ziehl-Nielson and India Ink, and culture of CSFBlood cultureChest X-rayCT scan of the headnot all are routine, it depends on the case of possible infection

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3
Q

lp indication

A

Diagnostic- infection, subarach haem (CATscan), mul scler, etcInvestigational - myelogram (contrast medium)Therapeutic - injection of cytotoxins (chemo)

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4
Q

lp contraindications

A

Presence of papilloedema (Fundoscopy to rule out)raised intcran pressure -can cause herniation/ coning of of brainstemCerebral mass lesionUncorrected bleeding disorderSuspected spinal cord compressionInfection at LP site

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5
Q

NECK STIFFNESS & BRUDZINSKI SIGN

A
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6
Q

KERNIG’S SIGN

A
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