Méningite Bacté Flashcards

1
Q

Germe frqt

  • < 1ans
  • > 1 ans
A

< 1 an = Pneumocoque

> 1 an = Meningocoque

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2
Q

Portage Meningo

A

RhinoPharynx

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3
Q

Portage Pneumocoque

A

VAS

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4
Q

Clinique Nourrisson 6

A
Fièvre
Vomi
Somno
   HypoTonie
   Fontanelle Bombée
   Convulsion
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5
Q

Urgences 3

A

Sepsis
Purpura Fulmi
HTIC

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6
Q

Purpura Fulmi

Germe

A

Meningocoque

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7
Q

Purpura Fulmi
PEC 3
(pas)

A

C3G
15 Réa
Rempli 20ml/kg en 20min
(Pas de PL)

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8
Q

LCR
Proteinorach
Glycorach
Lactatorach

A
Prot = >0,4 g/l
Gly = < 40%
Lacta = > 3,2 mmol/l
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9
Q
LCR
Exam Direct
Si >...
Pneum
Meningo
Haemophi
A

Si > 10^5 bacté/ml
Pneumo = CGP
Meningo = CGN
Haemophil = BGN

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10
Q
TT Meningo (2)
Durée
A

Cefotaxime = 200mg/kg
Ceftriaxone = 100mg/kg
4 jours

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11
Q

TT Pneumocoque

Durée

A

Cefotaxime 300 mg/kg

10 jours

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12
Q

Dexamethasone
Poso
Germes
Durée

A

DXA IV 0,15 mg/kg/6h
-Haemophil Influ
-Pneumocoque
4 jours

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13
Q

Pneumocoque

Complication

A

Surdité acqise

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14
Q
Méningocoque
Prophylaxie
NN
Enfant
Adult
A

Rifam PO 2 jours
NN 5 mg/kg/12h
Enfant 10 mg/kg/12h
Adult 600 mg/12h

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15
Q

Vaccin prophylaxie
C
A

A
C = Vax Meningo C
A = Vax Quadrivalent A-C-Y-W
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16
Q

Isolement
Meningo
Pneumo

A
Meningo = Gouttelette
Pneumo = 0/
17
Q

Vax
Meningo
Pneumo

A
Meningo = 5-12 mois
Pneumo = 2-4-11mois