Meningitis Flashcards
1
Q
Bacterial Meningitis gen char
A
Def:
medical emergency due to bacterial inflammation and irritation of meninges
Causes:
Adults/Children:
S. pneumoniae
N. meningtidis
Children (+):
H. flu
Neonates:
Group B streptococcus
2
Q
Bacterial Meningitis clin
A
Vaccines:
S. pneumoniae
H. flu type B
N. meningtidis
Risks: exposure travel URI brain/spinal cord implants head trauma
SS: ICP triad: - nuchal rigidity - fever - mental status change Kernig's sign Brudzinski's sign Rash neurological complications worst HA of life photophobia
Eval: Leukocytosis Lumbar puncture thrombocytopenia PT/PTT electrolytes, BUN, creatinine, glucose blood cultures
Txt: supportive abx dexamtehasone chemoprophylaxis
3
Q
Aseptic meningitis gen char
A
Def: meningitis not from normal bacterial pathogens
Causes: viral bacterial - TB - syphilis fungal malignancy medication
4
Q
Aseptic meningitis clin
A
SS: meningeal irritation fewer neurological s/s less acute onset and progression negative routine bacterial cultures fever HA N/V photophobia nuchal rigidity
Eval: CBC BUN, electrolytes, creatinine, glucose, blood cultures, PT/PTT LP MRI/CT
Txt:
symptomatic
abx for risk groups or unclear cause
5
Q
What is viremia in relation to viral meningitis
A
signs of viral exanthem
nonspecific viral symptoms
6
Q
Chronic meningitis summary
A
rare
gradual onset
lasts 4 weeks or more
