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Neuro II Exam 2 > Pediatric CNS Infections - Tucker > Flashcards

Pediatric CNS Infections - Tucker Flashcards

1
Q

6yo M, fever and HA, T 102, tachycardia, tachypnea, wincing in room, doesn’t want to open eyes, clear rhinorrhea, meningismus

A

meningitis

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2
Q

kernigs sign

A

pain with extension of knee with hips flexed

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3
Q

brudzinski sign

A

patient flex neck - reflex flex knee

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4
Q

bacterial meningitis

A

elevated WBC with left shift - or norma

lumbar - increased WBC with neutrophils - low glucose, high protein

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5
Q

viral meningitis

A

CHC, ESR, BMP normal

lumbar - increased WBCs - lymphocytes

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6
Q

pregnany hx

A

important- group B strep status and STI hx

prenatal antibiotics - decreased incidence of group B strep

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7
Q

irritable child, bulging fontanelle, fever

A

needs full sepsis work up

CBC, blood culture, urinalysis, urine culture, LP

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8
Q

meningitis in children over 2 months

A

MC - pneumococcus

-second is meningococcus

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9
Q

MC meningitis in young adults

A

meningococcus

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10
Q

infants less than 2 months

A

group B strep
listeria
E. coli

ad herpes coverage up to 4-6 weeks

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11
Q

tx infants less than 2 month

A

3rd gen cephalosporin and ampicillin

and acyclovir for herpes

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12
Q

tx kids > 2 months

A

pneumococcus and meningococcus

-3rd gen cephalosprorin and vancomycin

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13
Q

viral meningitis

A

herpes
enterovirus

EBV, HHV 6, and ricketsia

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14
Q

meningitis in infants

A

prematurity, PROM, chorioamnionitis

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15
Q

complications of meningitis

A

cerebral edema

cushings triad - bradycardia, HTN, respiratory abnormal

tonsillar herniation

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16
Q

SIADH

A

30% of meningitis - have decreased sodium

tx- fluid restriction

17
Q

seizures after 72 hours of tx

A

vascular insult or abscess development

18
Q

long term complications of meningitis

A

hearing loss, seizure, hydrocephalus, spastic, blind, learning disability

Neuro II Exam 2 (20 decks)

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