Cns Tb Flashcards

1
Q

Presumptive case

A

Features of meningitis in form of fever , headache , neck rigidity and vomiting with or out altered sensorium , ass focal deficits for a period of 5 days or more

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2
Q

Diagnosis

A
Lp - lymphocytic pleocytosis
Low serum : csf glucose
High protein
Hiv/cxray/ ct
Mri brain with contrast- hydrocephalus
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3
Q

Tests in csf fluid

A

India ink , cryptococcal Ag
Culture, stains, gene xpert
Ada

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4
Q

Rx

A

2 hrze and 7 hre
Steriids- hiv negative pts 4wks min
Pos- only in life threatening

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5
Q

Sx

A

Hydrocephalus with raised icp

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6
Q

Complications

A

Hydrocephalus- shunt
Stroke- steroid
Arachnoiditis
Seizure

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