Meningitis Flashcards

1
Q

Aetiologies?

A

Infective - meningococcal, pneumococcal
Inflammatory
Drug induced
Malignant

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2
Q

Pathology?

A

Infection enters through cranial cavity openings
Acute bacterial causes meningeal congestion with neutrophils –> pus
Chronic is green exudate with adhesions
Viral = lymphocytic inflammation

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3
Q

Signs and Symptoms?

A
Meningism = stiff neck, fever, headache, kerning's sign, photophobia
Others = pleuritic pain, petechial rash, focal signs, shock, AMS, seizures
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4
Q

Investigations and findings?

A
CT - contra/indicat. LP
Lumbar puncture - CSF findings high protein, high neutrophils, high pressure
Serology
Blood culture 
FBC, U+Es 
LFT 
Glucose - hypoglycaemia 
Coag
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5
Q

Management?

A

ABCD
IV antibiotics (cephalosporin)
Antivirals
ITU admission

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6
Q

Complications?

A

Death
Reduced life expectancy
FNS

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