Meningitis Flashcards

1
Q

causas de meningitis no infecciosa

A
  • radioterapia
  • sarcoidosis
  • neoplasicas
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2
Q

virus mas frecuentes causantes de meningitis

A
  • enterovirus

- VHS

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3
Q

agente causal mas comun de meningitis bacteriana en neonatos menores de un mes

A

estreptococo del grupo B

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4
Q

agentes causales mas comunes de meningitis bacteriana

A
  • S. penumonia
  • N. meningitidis
  • L. monocitogenes
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5
Q

agentes causales mas comunes de meningitis postquirurgica

A
  • S. aureus
  • S. pneumoniae
  • P. aeruginosa
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6
Q

clinica de la meningitis virica

A

subaguda

  • fiebre
  • cefalea
  • fotofobia
  • escasa rigidez de nuca
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7
Q

clinica de la meningitis bacteriana

A

aguda y agresiva

  • nausea y vomito
  • signos meningeos
  • fiebre alta
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8
Q

dato clinico caracteristico de la meningitis por meningococo

A

manchas purpuricas

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9
Q

cuales son los signos meningeos

A
  • rigidez de nuca
  • signo de Kerning
  • signo de Brudzinsky
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10
Q

cual es el signos de Brudzinsky

A

felxion involuntaria de caderas y rodillas a la flexion pasiva del cuello

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11
Q

cual es el signo de Kerning

A

imposibilidad para la extension se la rodilla al tener la articulacion de la cadera flexionada (pierna levantada)

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12
Q

caracteristicas del liquido cefalorraquideo en la meningitis bacteriana

A
  • polimorfonucleares
  • hipoglucorraquia
  • hiperproteinorraquia
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13
Q

causas de LCR con linfocitosis, hipoglucorraquia e hiperproteinorraquia

A
  • TB
  • hongos
  • sifilis
  • cancer
  • sarcoidosis
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14
Q

causas de LCR con linfocitosis, normoglucorraquia e hiperproteinorraquia

A
  • virus

- parasitos

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15
Q

antibioterapia epirica para la meningitis neonatal

A

ampicilina mas gentamicina

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16
Q

antibioterapia empirica para la meningits en paciente joven

A

ceftriaxona

17
Q

antibioterapia empirica para la meningitis en el paciente anciano

A

ceftriaxona mas ampicilina (ya que en esta edad aumenta el riesgo de listeria)

18
Q

antibioterapia de eleccion en meningits postquirurgica o postraumatica

A

vancomicina

19
Q

uso y ventajas de los corticoides en meningitis

A

administrados previamente al inicio de la antibioterapia reducen la tasa de complicaciones (dexametasona)