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Pediatria Piso > Meningitis > Flashcards

Meningitis Flashcards

1
Q

En que poblacion se ve mas frecuentemente

A

Niños sin vacunacion

Pacientes menores de 1 año

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2
Q

Factores de riesgo:

Socioeconomicos

A 
Hacinamiento
Area Rural
Bajo nivel socioeconomico
Vacunacion incompleta
Contacto con fumadores
Desnutricion
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3
Q

Factores de riesgo:

Indidivuales

A

Enfermedades de base: Inmunosupresion, Asplenia (Anatomica y Funcional), Corticoesteroide cronico, DM
Infeccioso: Otitis media, celulitis faciales, respiratorias

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4
Q

Factores de riesgo:

Neuroquirurgicos

A

Fistula LCR
Implante coclear
Derivacion ventriculoperitoneal
Trauma craneoencefalico

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5
Q

Etiologia:

Menores de 1 mes

A

Agalactiae
Listeria
E. coli
Klebsiella

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6
Q

Etiologia:

1-3 meses

A 
Listeria
E. coli
Agalactiae
Neumococo
HiB
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7
Q

Etiologia:

3 meses - 5 años

A

Neumococo
Meningococo
HiB

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8
Q

Etiologia:

>5 años

A

Meningococo
Neumococo
HiB

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9
Q

Etiologia:

Virales

A

Herpes 6
Enterovirus
CMV (Inmunocompromiso)

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10
Q

Que pasa con Herpes 1 y 2?

A

Son mas graves, causan Meningoencefalitis, tratamiento con Aciclovir

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11
Q

Mas frecuente etiologia?

A

Virales, pero bacterianas son mas graves

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12
Q

Cuadro clinico:

< 1 mes

A 
Distermia (Hipotermia o Fiebre)
Letargia
Irritabilidad
Hiporexia
Vomito
Fontanela Abombada (30%)
Sepsis neonatal
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13
Q

Cuadro clinico:

>1 mes - 2 años

A 
Fiebre
Vomito
Diarrea
Hiporexia
Fontanela abombada
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14
Q

Edad de cierre fontanela anterior

A

12-18 meses

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15
Q

Cuadro clinico:

>2 años

A 
Signos meningeos
Vomito
Cefalea
Fiebre
Otros: Convulsiones, no focaliza
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16
Q

Diagnositco:

LCR Viral

A 
Aspecto Claro-Amarillo
P. apertura normal
Glucosa normal
Proteinas normales
Leucocitos aumentado, mononucelados
17
Q

Diagnostico:

LCR Bacteriana

A 
Aspecto turbio
P. apertura aumentada
Glucosa disminuida
Proteinas aumentadas
Leucocitos aumentados, PMN
18
Q

Diagnostico:

LCR normal

A 
Aspecto limpido
P. apertura 80-200mmH2O
Glucosa >2/3 glicemia basal
Proteinas 40-50 (90 en neonatos)
Leucocitos 0-5

Pediatria Piso (9 decks)

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