Meningitis Flashcards
1
Q
What is meningitis?
A
Inflammation of the leptomeninges
2
Q
What are the common organisms in neonates?
A
E.coli
Group B strep
Listeria
3
Q
What are the common organisms in children?
A
Haemophilus influenzae
Neisseria meningitides
4
Q
What are the common organisms in the elderly?
A
Strep pnuemoniae
Listeria monocytogenes
5
Q
What is the presentation of meningitis?
A
Fever Headache Non-blanching rash Neck stiffness Coryzal symptoms Photophobia
6
Q
What are risk factors for meningitis?
A
CSF defects Spinal procedures Endocarditis Diabetes Splenectomy Crowded population
7
Q
What investigations should you do for suspected meningitis?
A
Blood cultures
FBC, U+Es, CRP
Lumbar puncture
8
Q
Where is the lumbar puncture done?
A
Between L4-5
9
Q
How is meningitis managed?
A
Supportive
- pain relief
- IV fluids
Medical
- IV ceftriaxone
- dexamethasone
10
Q
Why is dexamethasone given?
A
Prevent hearing loss
11
Q
What are complications of meningitis?
A
Sepsis
DIC - N.meningitides
Raised ICP
Cerebral oedema
