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ID - Awesome, mening

CSF findings

QuestionAnswer
High opening pressure bacterial, increase intracranial pressure
unilateral paralysis or muscle weakness, with decreased DTRs West Nile Virus, summer or early fall bitten by a mosquito
diplopia in meningitis West Nile Virus - weakened extraocular muscles
very high protein TB meningitis
low glucose very specific for early bacterial meningitis CSF/serum < 0.4; can also be found in bacterial, viral and TB
organisms that can cause aseptic meningitis entero/echo viruses, OKT3 from graft vs host disease medication, NSAIDs, Bactrim, HSV
blood in tap > than the usual 1000 RBCs to 1 WBC ratio HSV
Early PMNs aseptic meningitis
headache and olfactory hallucinations HSV encephalitis
What organisms do you need to cover for meningitis in a two-month-old? What antibiotics would you treat with? Baby BEL. GBS, E. coli, Listeria. Treat with ceftriaxone and ampicillin.
What organisms do you need to cover for meningitis in a teenager? What antibiotics would you treat with? Teens are hypersensitive HSN. H. influenzae, Streptococcus pneumoniae, Neisseria meningitidis. Treat with ceftriaxone.
What organisms do you need to cover for meningitis in an elderly person? What antibiotics would you use? The elderly are senile and watching SNL. Streptococcus pneumoniae, Neisseria meningitidis, Listeria. Treat with vancomycin, ceftriaxone, ampicillin.
What organisms do you need to cover for meningitis in a patient with head trauma or CNS infection? What antibiotics to treat? MSG is neurotoxic. MRSA, Streptococcus pneumoniae, gram-negative Pseudomonas. Treated with vancomycin and cefepime.
Created by: christinapham
 

 



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