Details Title: Infections of CNS Description: Infections of CNS Total Flash Cards: 31 Created: 04/26/2009 20:03:26		New Users: To study from this flashcard set, or to create your own your own study flash cards, REGISTER HERE. Existing Users: CLICK HERE. Additional Real Estate & Planning Flashcards
Cards in this set: Term inflammation of meninges photophobia, headache, neck regidity increased # of WBC in CSF (pleocytosis) Definition Meningitis Term Factor si C3b URT Binds to lungs and goes to CSF meningitis from 1 mo to 18 y.o. Definition Meningitis from Strep. Pneumoniae Term most common meningitis less than 1 m.o. Definition Meningitis from Group B strep. Term Brudenski sign Definition flex head forward, knees flex forward Term Kernig sign Definition flex hip, extend knee, pain Term Diagnosis of Meningitis if neuroimaging negative get... Definition LP gram stain and culture CSF cell count and protein Term Gram neg. diplococci nasopharynx Epidemic cases: serotypes A,C Sporadic cases: serotypes B,C,Y Close contact, military/freshmen/endemic areas Vaccine Quadravalent Definition Neisseria Meningitidis Term Meningitis Treatment less than 1 month Definition Ampicillin + _____ Term Meningitis Treatment 1 mo to 23 mo Definition Vancomycin + 3rd gen. ceph Term Meningitis Treatment 2 y to 50 yr Definition Vanco + 3rd gen. ceph Term Meningitis Treatment 50 yr + Definition Vanc. + ampicillin + 3rd gen. ceph Term Meningitis Treatment penetrating trauma postneurosurgery CSF shunt Definition Vanc + cefepime Term Meningitis Treatment Basilar skull fracture Definition vanc + 3rd gen. ceph. Term pleocytosis mild to moderate, mononuclear inc. protein glucose normal granulomas ziehl-neelson staining culture standard for diag. Definition Chronic Bacterial Mengoencephalitis Tuberculosis Term lymphocytes in CSF brain invasion mental deteroiration and mood deviation  Tabes dorsalis - dorasl root and ganglia severe proprioceptiove loss dorsal columns are pale and atrophic Definition Chronic Bacterial Mengoencephalitis Neurosyphillis Term spirochete Borrelia burgdorferi ticks spread meningitis, facial nerve palsies polyneuropathy Definition Chronic Bacterial Mengoencephalitis neuroborreliosis lyme disease Term General Term fever, headache altered level of consciousness focal or diffuse neurological signs Definition Encephalitis Term Viral Encephalitits spp. Definition Flaviviridae Toga Bunya (not many cases) Herpes (lots of cases) number of others Term 53yo female, seizing, personality change, works in daycare CSF: 400 wbc, 200rbc, lymphocytes predominate, glu normal protein elevated gram stain neg. Definition Herpes simplex encephalities HSV 1 adults HSV 2 kids Term Enceph. Treatment Definition supportive, symptomatic, treat cause Herpes: acyclovir CMV ganciclovir/foscarnet HIV: HAART Term Brain Abcess Definition Collection of puss Term Brain Abcess Localizers Temporal Lobe Definition Temporal Lobe headache/aphasia Term Brain Abcess Localizers Frontal Lobe Definition Frontal Lobe Mental Stauts change/hemiparesis, expressive speech disturbance Term Brain Abcess Localizers Cerebellum Definition Vomiting Ataxia nystagums dysmetria Term Brain Abcess Localizers Brainstem Definition vomiting hemiparesis dysphagia facial weakness Term Middle Cerebral Artery Distribution Area of involvement Definition Endocardidits (heart valve) Term Brain Abcess Diag. Definition image LP culture surgical drainage brain biopsy - do earlier in treatment if suspect toxoplasmosis Term 10d of head and neck pain returned from two week in jamaica eosinophilia in blood intracranial pressure (sign of enceph) CSF: WBC 333 Definition angiostrongylus cantonensis rat lung worm Term angiostrongylus cantonensis characteristics Definition rat lung worm most common infection with eosinophilic meningitis parasite - 3rd larva stage infects most self limited SE Asia/Sporadic US. Term pus between arachnoid and inner surface of dura infection of sinuses or skull Caused by strep or staph Definition Subdural Empyema Term associated with osteomyelitis may occur in SC diag. by aspiration by interventional radiology or surgery strep or Staph Definition Extradural Abcess