Meningitis Flashcards

1
Q

viral

A

most common - enterovirus, mumps, herpes (most common - neuronal spread)

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2
Q

fungi

A

HIV/immunosupressed - cryptococcus

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3
Q

bacterial

A

most serious - N. meningitidis, S. pneumoniae

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4
Q

lumbar puncture - normal colour

A

clear

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5
Q

lumbar puncture - normal pressure

A

5-20cm

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6
Q

lumbar puncture - normal lymphocytes

A

less than 5

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7
Q

lumbar puncture - normal glucose ratio

A

0.6

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8
Q

lumbar puncture - normal protein

A

50

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9
Q

lumbar puncture - viral white cells

A

50-1000 lymphocytes

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10
Q

lumbar puncture - viral protein

A

less than 200

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11
Q

lumbar puncture - viral glucose

A

more than 0.45

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12
Q

lumbar puncture - bacterial white cells

A

1000-10000 neutrophils

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13
Q

lumbar puncture - bacterial protein

A

100-500

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14
Q

lumbar puncture - bacterial glucose

A

less than 0.4

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15
Q

lumbar puncture - fungal white cells

A

20-500 neutrophils

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16
Q

lumbar puncture - fungal glucose

A

less than 0.4

17
Q

lumbar puncture - fungal protein

A

more than 45

18
Q

CSF penetration good abx

A

penicillin, ceftriaxone, chloramphenical

19
Q

CSF penetration poor abx

A

vancomycin, gentamycin

20
Q

management of inflammation

A

steroid adjunct with abx (controversial)