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Neuro > Meningitis > Flashcards

Meningitis Flashcards

1
Q

Is viral meningitis common?

A

Yes

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2
Q

Causes of viral meningitis?

A

Enteroviruses

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3
Q

Investigation of viral meningitis?

A

Stool culture
Throat swab
CSF PCR

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4
Q

Treatment for viral meningitis?

A

Supportive - self limiting

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5
Q

Causes of community acquired bacterial meningitis in neonates?

A

Listeria
Group b strep
E. coli

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6
Q

Cause of community acquired bacterial meningitis in children?

A

H. Influenza

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7
Q

Causes of community acquired bacterial meningitis in 10-21 year olds?

A

Neisseria meningitidis

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8
Q

Causes of community acquired bacterial meningitis in >21 year olds?

A

Strep pneumoniae > neisseria meningitidis

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9
Q

Causes of community acquired bacterial meningitis in >65year olds?

A

Strep pneumoniae > listeria

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10
Q

Clinical signs of bacterial meningitis?

A 
Fever
Stiff neck
Alteration in consciousness
Headache
Vomiting 
Photophobia 
Rash
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11
Q

Cause of meningococcal meningitis?

A

Neisseria meningitidis

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12
Q

Cause of pneumococcal meningitis?

A

Strep pneumoniae

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13
Q

What is listeria?

A

A gram positive bacilli

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14
Q

Who gets listeria?

A

Neonates
>55
Immunosuppressed

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15
Q

What are meningococcal meningitis symptoms due to ?

A

Exotoxins

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16
Q

Who gets tuberculosis meningitis?

A

Re activation of TB

Elderly

17
Q

Treatment of tuberculosis meningitis?

A

Isoniazid , rifampicin

18
Q

What is cryptococcal meningitis?

A

Fungal

Mainly in HIV

19
Q

Detection of cryptococcal meningitis?

A

Serum and CSF cryptococcal antigen

20
Q

Treatment of cryptococcal meningitis?

A

IV amphotericin B
Flucytosine
Fluconazole

21
Q

Investigations for bacterial meningitis?

A

Bloods- culture / FBC, U&Es, LFTs/ glucose/ coagulation
Throat swab - culture
CSF - microscopy, C&S/ PCR / protein / glucose

22
Q

Treatment of meningitis?

A

Steroids - dexamethasone - before or with first dose of antibiotics and every 6 hours for 4 day s
IV Ceftriaxone
Ampicillin / amoxicillin if listeria
( If have a penicillin allergy - co-trimoxazole)

Neuro (19 decks)

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