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CNS: meningitis, brain injury, & spinal cord injury
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Which type on meningitis can typically be managed at home? Which type is extremely serious & needs to be treated quickly?
Viral - less serious
Bacterial - extremely serious
Explain the skin lesions associated with meningococcal meningitis.
Small macular rash occurring on the abdomen that quickly progresses to large purpura and extremities turn black.
Rapid onset of symptoms associated with meningitis?
Severe headache
photophobia
indications of increased ICP
Nuchal rigidity
Positive Kernig's (severe stiffness of hamstring) & Brudinski's sign (hips & knees flex when neck is passively flexed)
Decreased mental status
focal neurological deficits
N&V
Best lab for diagnosis of meningitis?
CSF analysis
also
: CT
blood cultures - expect WBC to be elevated
blood glucose
Drug therapy for meningitis?
Broad spectrum antibiotic - ASAP
* Abx IM if IV access cant be established
quickly
hyperosmolar agents - to prevent shock
anticonvulsants
steroids (controversial)
Prophylaxis treatment for those in clost contact with infected pt
Author
jjennings1
ID
204466
Card Set
CNS: meningitis, brain injury, & spinal cord injury
Description
CNS: meningitis, brain injury, & spinal cord injury
Updated
2013-03-02T20:14:24Z
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