Meningitis Flashcards
1
Q
Define meningococcal meningitis
A
infection of the meningies
2
Q
Define meningococcal septicaemia
A
infection of the blood stream
3
Q
Causes of meningitis in neonates <3 (3)
A
- Ecoli
- Listeria monocytogenes
- Group B strep
4
Q
Most common cause of meningitis in neonates
A
Group B strep
5
Q
Name 3 causes of meningitis in infants
A
- Neisseria meningitis
- Haemophilius influenza
- Strep pneumonia
6
Q
Name 2 causes of meningitis in older children > 6 years
A
- Neisseria meningitis
2. Strep pneumonia
7
Q
describe meningitis rash
A
- Non blanching purpuric rash
8
Q
Features of a meningitis history (4)
A
- Fever
- Headache
- Lethargy
- Poor feeding and drowsiness
9
Q
Features of examination in meningitis
A
- Fever
- Purpuric rash
- Bulging fontanelles
- Neck stiffness
- Arching of back
10
Q
Investigations to perform in meningitis
A
- Bloods
- FBC
- U and E
- LFT
- Blood glucose - ABG - for acidosis
- Culture of blood, throat and urine - to find pathogen
11
Q
Procedures and scans t perform
A
- Lumbar puncture
2. CT/MRI of head
12
Q
Immediate mx of febrile child with purpuric rash
A
- IM benzylpenicillin
13
Q
Tx for meningitis in baby < 1 month
A
IV ceftriaxone/cefotaxamine
14
Q
Tx for meningitis in > 1 month
A
- IV ceftriaxone
2. Amoxicillin
15
Q
What antibiotic should be added to therapy if recent travel abroad?
A
- Vancomycin
