Meningitis Flashcards

1
Q

3 most common causative organisms in <1 month

A

group B streptococcus
E. coli
listeria monocytogenes

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2
Q

3 most common causative organisms in children

A

strep pneumoniae
meningococci
h. influenzae

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3
Q

CSF in meningococcal infection

A

high protein, low glucose and gram -ve cocci

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4
Q

CSF in pneumococcal infection

A

high protein, low glucose and gram +ve

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5
Q

CSF in group B strep infection

A

high protein, low glucose and gram +ve

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6
Q

CSF in E. coli infection

A

high, protein, low glucose and gram -ve

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7
Q

complications of strep pneumoniae meningitis

A

brain damage, hearing loss and hydrocephalus

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8
Q

complications of meningococci meningitis

A

cogntitive impairment, epilepsy, hearing loss, skin scars and amputation

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9
Q

what type of molecule is the meninogococcal toxin

A

lipo-oligosaccharide

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10
Q

which of the common meningitis causing organisms is there a vaccine for

A

pneumococcal
meningococcal B and C
h. influenzae

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11
Q

6 symptoms of meningitis

A
neck stiffness
fever
headaches
photophobia
seizures
lethargy and irritable
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12
Q

3 signs of meningitis

A

non-blanching rash
bulging fontanelle
reduced consciousness

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13
Q

primary care of meningitis

A

IV or IM benzylpenicillin

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14
Q

investigations for meningitis

A

FBC, CRP, blood gases, glucose, coagulation screen, lumbar puncture

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15
Q

hospital general management of meningitis

A

ABCD and analgesia and antipyrexic

nutrition and hydration

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16
Q

what reason would you not give fluids in meningitis

A

signs of raised ICP

17
Q

signs of raised ICP

A
cranial nerve palsies
cushing's triad
nausea and vomiting
headache
altered consciousness
18
Q

what is cushing’s triad

A

high systolic BP
low HR
low and irregular RR

19
Q

medications for a <3 month old with meningitis

A

dexamethasone + cefotaxime + amoxicillin

20
Q

medications for a >3 months old

A

dexamethasone + ceftriaxone

21
Q

how long do you give dexamethasone for and why

A

4 days - steroid to reduce inflammation