Signs and Symptoms III Flashcards
What are the septicaemic signs of Meningitis?
Increased capillary refill time
Cold hands and feet (occurs before BP falls)
rash
What are the meningitic signs in Meningitis?
Neck stiffness and Photophobia
What are the steps taken if Septicaemic signs predominate in Meningitis?
What are the steps taken if Meningitic signs predominate?
If Septicaemic signs predominate: DO NOT attempt LP, give Ceftriaxone 2G BD IV (for adults and children >40kg) [Ceftriaxone 80MG/kg for infants and children <40kg] and get help from critical care team.
If Meningitic signs predominate: Dexamethasone 4-10MG QDS IV
What is given if viral encephalitis is suspected?
Aciclovir 10MG/KG TDS IV over 1hr
Define Narcolepsy
Narcolepsy is a rare neurological condition that affects the brain’s ability to regulate the normal sleep-wake cycle.
This can lead to symptoms such as disturbed night-time sleep, excessive day-time sleepiness and cataplexy.
In cerebellar disease, is it Romberg’s negative or Romberg’s positive?
Romberg’s negative in Cerebellar disease
What is Broca’s dysphasia? Which area of the brain is affected in Broca’s dysphasia?
Broca’s dysphasia is also known as expressive dysphasia. It is when patients are able to comprehend well, but cannot find the right words to express themselves.
Infero-lateral dominant frontal lobe.
What is Wernicke’s dysphasia? Which area of the brain is affected in Wernicke’s dysphasia?
Wernicke’s dysphasia is receptive dysphasia, when patients become impaired in reading, writing, and comprehension. May be mistaken for psychotic speech.
Area affected is posterior superior temporal lobe
Which group of patients are more prone to meningitis caused by Listeria monocytogenes?
What is the treatment for these patients?
Listeria monocytogenes cause meningitis in patients >50yo, in those with alcohol dependency, in immunocompromised individuals and in neonates.
Add Amoxicillin 2G six times a day IV + Gentamicin 80MG TDS IV to Ceftriaxone 2G BD IV.
