mening & lp Flashcards
symptoms of meningitis
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
Iinvestigations of meningism
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
lp indication
Diagnostic- infection, subarach haem (CATscan), mul scler, etcInvestigational - myelogram (contrast medium)Therapeutic - injection of cytotoxins (chemo)
lp contraindications
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
NECK STIFFNESS & BRUDZINSKI SIGN
KERNIG’S SIGN