Neuro infections Flashcards
1
Q
What on an LP would indicate bacterial meningitis?
A
pressure >30 (20) turbin appearance high protein low glucose monocytes
2
Q
What on an LP would indicate viral meningitis?
A
pressure normal or slightly raised clear appearance normal protein normal glucose monocytes
3
Q
What on an LP would indicate fungal/TB meningitis?
A
fibrin web appearnace
normal protein
low glucose
monocytes
4
Q
How would you treat encephalitis?
A
aciclovir
5
Q
What is postherpatic neuralgia?
A
burning continous pain afer herpes zoster - in 10% of patients
6
Q
How would you treat herpes zoster?
A
aciclovir
7
Q
How would you treat viral meningitis?
A
aciclovir
8
Q
How would you treat bacterial meningitis?
A
cefotaxime/cefriaxome
if listeria - amoxicillin
if pneumococcal - give steroids too
if a returning traveller - give vancomycin
9
Q
How would you test for encephalitis?
A
Bloods - culture, viral PCR
contrast enhanced CT
lumbar puncture
EEG
