meningitis

Question 1

Viral Meningitis

Answer 1

Symptoms: fever, neck stiffness, headache, photophobia

Causes:
HSV
HIV
Mumps (uncommon due to vaccines)

CSF: 
Low leuckocytes (primarily lymphocytic)
normal glucose
normal protein
culture negative

treatment:

supportive care

Question 2

Bacterial Meningitis

Answer 2

often via direct spread from nasopharynx
or in setting of otitis media / sinusitis

Symptoms: fever, neck stiffness, headache, photophobia

most common:
strep. pneumoniae
Neisseria Meningitidis

CT prior to LP

Imperic therapy

Ceftriaxone
vancomycine
dexamethasone