meningitis

Question 1

2 signs

Answer 1

kerning - legs

brud - passive flexion of neck

Question 2

signs of meningitis

Answer 2

headache
vomitting
photophobia
not relieved by analgeiscs
focal neurology
rash

Question 3

investigations

Answer 3

cbc, chemistry

LP

Question 4

causes

and most common

Answer 4

infective
non infective - cancer (leukemia +lymphoma) +drugs
lupus

viral is the most common but not as svere as bacterial

Question 5

tx for meningitis bacterial

Answer 5

ceftriaxone 2g and we add coverage for liseria amoxicillin (seems to be second line )

but then it also says penciilin?

Question 6

complications of m

Answer 6

seizures
abscess
encepahlitis
SIADH
COMA
DIC
hearing losss

Question 7

neonates risk

Answer 7

e.coli
group b strep
listeria

Question 8

which part of the brain is affected in viral encephalitis

Answer 8

temporal lobes

• hearing
  -speech

Question 9

hat are the main causes of meningitis in immunocompromised patients?

Answer 9

listeria
cryptococcal
TB

Question 10

What are the four major bacterial causes of meningitis?

Answer 10

Neisseria meningitidis (meningococcus)
Streptococcus pneumoniae (pneumonococcus)
Haemophilus influenzae
Listeria monocytogenese

Question 11

Which bacteria is most commonly associated with meningitis with a petechial rash?

Answer 11

n.meningitidis

Question 12

Which virus is most commonly implicated in viral encephalitis?

Answer 12

herpes

Question 13

What are the four major contraindications to lumbar puncture?

Answer 13

1. raised icp
2. rash at site
   3.