Meningitis Flashcards
1
Q
Name 6 causes of meningitis
A
Bacterial Viral Fungal IV TB Malignant
2
Q
How does meningitis present? (7)
A
sever headache neck stiffness Photophobia Reduced level of consciousness Fever Vomitting Seizures purpuric rash papillodema
3
Q
What is Kernig’s sign?
A
Pain on passive knee extension when hip is flexed
4
Q
What investigations would you do in meningitis?
A
FBC U+Es
Blood cultures
Lumbar (CT first if sus. raised ICP)
CXR
5
Q
What 4 things are you using CSF for from LP?
A
Glucose
Protein
Cells
cultures
6
Q
What will be in CSF in bacterial meningitis?
A
Glucose - Low
Protein - Raised
Neutrophils
7
Q
What will be present in CSF in viral meningitis?
A
Glucose - Normal
Protein - Normal or raised
Cells - lymphocytes
8
Q
What are the 3 main bacteria which cause meningitis?
A
Neissseria Meningitidis
Strep pneumoniae
Haemophilus Influenzae B
9
Q
How do you manage a patient with acute bacterial meningitis?
A
DRABC Oxygen Fluids Cultures IV Antibiotics - Ceftriaxone Bloods - Lactate, Hb Urine output Analgesia Steroids?
