Viral meningitis Flashcards
most common cause of viral
enterovirus (GI), arbovirus (insect bite), HIV, and HSV (herpes)
presents as
headache, fever, photophobia, and stiff neck
History of TIA is associated with
risk of stroke
symptoms last
less than an hour
Temporary loss of
vision paralysis tinnitus vertigo dysarthria impaired balance & coordination
Clinical manifestation of brain tumor
Dysarthria, dysphagia, positive Romberg sign & Babinski sign, vertigo, hemiparesis, loss of gag reflex
Supratentorial tumors
Severe headache, visual changes, seizures, loss of movement, cognitive function, paralysis
Infratentorial tumors
Hearing loss, facial drooping, dysphagia, hemiparesis, ataxia
Diagnostics
CBC
XRAY
MRI
Management of brain tumor
a. Maintain airway, safety and seizure precautions
b. Administer O2, Monitor lung sounds, neurological status
Indication to cranial surgery, overproduction of CSF—causes an obstruction to flow, defective reabsorption
Hydrocephalus
Complications of Brain Tumors/Meningitis
SIADH
Diabetes insipidus
Diabetes insipidus tx
fluid replacement to combat dehydration; watch for confusion; check urine output; LOC
SIADH (endocrine problems) tx
Fluid restriction, treat hyponatremia (slowly infuse normal saline), daily weights