Meningitis

Question 1

Q. Meningitis that is caused by Heamophilus influenza type B or by Nesseiria meningitis are the best or worst in prognosis?

Answer 1

These have the best prognosis but streptococcus, listeria & cryptococcus have bad prognosis

Question 2

Q.HIV ptn present with headache, fever, nuchal rigidity & photophobia. What’s your diagnosis?

Answer 2

Cryptococcal meningitis is the most common in AIDS PTN

Question 3

What’s the CSF measures in viral meningitis?

Answer 3

Normal: sugar/ pressure/ chloride/

Low: cell count/

normal to high : protein/

Question 4

A.what the most important CSF test in case of TB meningitis suspicion?

Answer 4

Chloride

Question 5

A.what do you expect the cell count to be on CSF sample for ptn with bacterial meningitis?

Answer 5

Very high

Question 6

Q. Ptn was found to have nuchal rigidity with fever = meningitis. What the best antibiotic that can be given immediately even before results of LP?

Answer 6

Ceftriaxone ( 3rd generation cephalosporins) because it can cross the CSF

Question 7

Q. What are the contraindication to perform LP?

Answer 7

1. ⬆️ intracranial pressure
2. Mass lesion
3. Hemorrhagic diathesis
4. occlusion of the venous sinus
5. Infection at the LP site