Meningitis Flashcards
1
Q
Aetiologies?
A
Infective - meningococcal, pneumococcal
Inflammatory
Drug induced
Malignant
2
Q
Pathology?
A
Infection enters through cranial cavity openings
Acute bacterial causes meningeal congestion with neutrophils –> pus
Chronic is green exudate with adhesions
Viral = lymphocytic inflammation
3
Q
Signs and Symptoms?
A
Meningism = stiff neck, fever, headache, kerning's sign, photophobia Others = pleuritic pain, petechial rash, focal signs, shock, AMS, seizures
4
Q
Investigations and findings?
A
CT - contra/indicat. LP Lumbar puncture - CSF findings high protein, high neutrophils, high pressure Serology Blood culture FBC, U+Es LFT Glucose - hypoglycaemia Coag
5
Q
Management?
A
ABCD
IV antibiotics (cephalosporin)
Antivirals
ITU admission
6
Q
Complications?
A
Death
Reduced life expectancy
FNS