Neuro- Meningitis

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Author:
Anonymous
ID:
125244
Filename:
Neuro- Meningitis
Updated:
2011-12-28 17:15:42
Tags:
Neurology Meningitis
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Description:
Meningitis
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  1. Common Bacteria causing Meningitis
    • 1. Neisseria meningitidis
    • 2. Haemophilus influenzae
    • 3. Streptococcus pneumoniae
  2. Emergency Treatment of Bacterial Meningitis
    • 1. High Flow O2
    • 2. IVI
    • 3. Ceftriaxone IV (2weeks)
    • 4. Dexamethasone 10mg IV 6hrly
    • 5. Identifiy foci of infection and treat eg. sinusitis
  3. Symptoms of Meningitis
    • 1. Fever
    • 2. Severe Headache, Photophobia
    • 3. Nausea, Vomitting
    • 4. Drowsy, Confused, Coma
    • 5. Seizures
  4. Signs of Meningitis
    • 1. Neck stiffness (Nuchal rigidity)
    • 2. Kernig's Sign (extension of knee painful when hip is 90)
    • 3. Brudzinski's Sign (bend knees of lifting pt's head when supine)
  5. Clues of Suspected Meningococcal Meningitis
    (Neisseriae meningitidis)
    • 1. Epidemics
    • 2. Rapid evolution of features
    • 3. Purpuric/ Petechial Rash (does not blanch on pressing with glass slide)
  6. Clues of Suspected Pneumococcal Meningitis
    (Streptococcus pneumoniae)
    • Preceeded by infection of :
    • lungs
    • ears
    • sinuses
  7. Cluses to suspected Haemophilus Meningitis
    (Haemophilus Influenzae)
    • 1. Child
    • 2. Preceeded by:
    • - URTI
    • - Ear Infection
  8. Complications of meningitis
    • 1. Pia-Arachnoiditis- headache, neck stiffness
    • 2. Sub-pial Encephalopathy - confusion, coma, convulsions
    • 3. Inflammation/ vascular Leison of CN (Occular palsy/ Facial Weakness/ Deafness)
    • 4. Meningeal Fibrosis (around On/ SC/ Roots)- focal seizures and deficits eg. impairment of speach
    • 5. Thrombosis of Meningeal Veins (focal seizures and deficits)
    • 6. Extensive Venous/Arterial Infarction
    • 7. Hydrocephalus
    • 8. Sub-dural Effusion

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