Meningitis Ensefalitis

Question 1

Nama lain meningitis bakterial akut

Answer 1

Meningitis purulenta

<3 hari

Question 2

Nama bakteri pnyebab meningitis bac akut

Answer 2

Neisseria meningitidis
Strepto pneumonia
H. Influenza

Question 3

Trias meningitis

Answer 3

Febris
Cephalgia
Meningeal sign

Question 4

Ciri meningoensefalitis

Answer 4

Trias meningitis + penurunan kesadaran/kejang

Question 5

Diagnosa meningitis

Answer 5

Imaging ct or mri dng kontras

Lp

Question 6

Tx meningitis bac akut

Answer 6

Terapi empiris antibiotik
Dexametason 4 hari
Ampisilin 
Cefotaksin
Vancomycin

Question 7

Meningitis tb stadium

Answer 7

1 awal
2 intermediate : meningeal sign, kelumpuhan nc 3 4 6
3 lanjut : penurunan kesadaran, koma

Question 8

Tx mengitis tb

Answer 8

Inh (H), rifampizin (R), pirazinamid (Z), etambutol (E)
Streptomycin
Tik naik kasi dexametason

Question 9

Penyebab meningitis viral

Answer 9

HSV, EBV, HIV

Question 10

Gambaran klinis mening viral

Answer 10

Febris tinggi (38-40)
Cephalgia
Meningeal sign
Fotofob
Perubahan prilaku krn virus nyerang di frontotemporal
Kejang

Question 11

Tx mening viral

Answer 11

HSV : Asiklofir, klo resisten foscarnet

VZV : asiklofir

Question 12

Meningitis kriptokokus penyebabnya

Answer 12

Jamur

Question 13

Gold standar mening kripto

Answer 13

Pewarnaan tinta india n kultur csf

Question 14

Tx mening kripto

Answer 14

Ampoterisin B + flukonazol

Tik naik : punsi lumbal untk nurunin

Question 15

Virus tersering ensefalitis viral

Answer 15

Hsv

Echovirus

Question 16

Gejala klinis

Answer 16

Demam
Cephalgia
Perubahan tingkat kesadaran
Kejang
Fotofobi

Question 17

Terapi ensefal viral

Answer 17

Hsv n vzv : Asiklofir

Resisten : foscarnet

Question 18

Resiko pungsi lumbal

Answer 18

Herniasi otak

Question 19

Kontraindikasi pungsi lumbal

Answer 19

Peningkatan tik : papil edema, pupil anisokor, penurunan kesadaran, defisit neurolog fokal, lesi desak intrakranial, trias cushing (td naik, rr nadi turun)
Infeksi lokal di daerah tusuk
Shock
Koagulopati (r antikoagulan n dic)
Trombosit <50k

Question 20

Gambaran perbedaan lab bac, virus, tb

Answer 20

Bakteri : pmn, glukosa turun <40, protein naik >200mg, pewarnaan n kultur +
Virus : mn, glukosa >40, protein turun <100, pewarnaan -
Tb : naik tpi ga lebih dri 300 sel, glukosa turun, protein 150-200, kultur +

Question 21

What is abses cerebri

Answer 21

Kumpulan pus dikelilingi capsul yg sifatnya fokal

Question 22

Waktu dan perkembangan abses cerebri

Answer 22

Selebritis awal
Selebritis lanjut
Pembentukan kapsul awal
Pembentukan kapsul akhir

Question 23

Gejala klinis abses serebri

Answer 23

Demam subfebris 37
Tik ningkat : nyeri kepala, mual muntah, penurunan kesadaran, papil edema
Serebral fokal : defisit motorik sensorik fokal, nn kranialis, penurunan status mental, kejang

Question 24

Terapi abses cerebri

Answer 24

> 3cm operasi

<3cm antibio

Question 25

Hidrocephalus adalah

Answer 25

Penumpukan cairan di ventrikel

Csf dihasilkan di ventr lateral

Question 26

Macam hidrocephalus

Answer 26

Obstruktif (non komunikans) : blok
Non obstruktif (komunikans)

Question 27

Terapi hidrocephalus

Answer 27

Estraventricular drainage

Question 28

Abses cerebri dx

Answer 28

Ct mri contrast

Gaperlu lp krn lesi masa