Csf Continuation Flashcards

(34 cards)

1
Q

Normal Glucose with High Lymphocytes –

A

VIRAL MENINGITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Low glucose with High neutrophils – indicative of

A

BACTERIAL MENINGITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Low glucose with High Lymphocytes suggestive to

A

TUBERCULAR MENINGITIS AND FUNGAL MENINGITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Valuable aid in the diagnosis and management of meningitis cases

A

Csf lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Inversely proportional to glucose

A

Csf lactate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Normal csf lactate

A

10-22 mg/dL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Produced from ammonia and alpha ketoglutarate by the brain cells

A

Glutamine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The normal concentration of glutamine is

A

8 to 18 mg/dL

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

75% of children with __________ have elevated glutamine levels

A

Reye’s syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Csf chloride Normal value:

A

125-135 mg/dl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

LD 2 and LD 3

A

Lymphocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

LD 1 and LD 2

A

Brain tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

LD 4 and LD 5

A

neutrophil

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Employed as a CONFIRMATORY rather than a diagnostic procedure

A

Csf culture

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

there are certain procedures that may serve as a preliminary diagnosis in csf culture

A
  • Gram Stain
  • Acid-Fast Stain
  • India Ink
  • Latex agglutination
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

• Routinely performed on CSF from ALL SUSPECTED cases of meningitis

• Performed on concentrated specimens ONLY

• Recommended for the detection of microorganisms

17
Q

• Not routinely performed

• A positive report is extremely valuable

A

Acid fast stain

18
Q

Performed with possible cases of FUNGAL Meningitis

19
Q

India ink detect ___________

A

Cryptococcus neoformans

20
Q

Cryptococcus neoformans pattern in gram stain

A

Starburst pattern

21
Q
  • Used to detect the presence of Cryptococcus neoformans antigen in serum and CSF
  • More sensitive than India Ink
A

LATEX AGGLUTINATION

22
Q

Primarily used in addition to detecting microorganisms as a tool in diagnosing NEUROSYPHILIS

A

SEROLOGIC TESTING

23
Q
  • RECOMMENDED TEST by the CDC in diagnosing Neurosyphilis.
  • Less sensitive than Fluorescent treponemal antibody-absorption (FTA-ABS
A

VDRL (Veneral Disease Research Laboratories

24
Q

“Positive serologic tests _______ be confirmed by culture and demonstration of the organism in India Ink preparation”

25
Group B Strep and GNB
Birth to 1 month old
26
1month to 5 years old
H.influenzae
27
5 years old to 29 years old
N. meningitidis
28
>29 years old
S. pneumoniae
29
newborn, elderly
L. monocytogenes
30
Features: a. Increased WBC count (neutrophil) b. Increased Protein c. Decreased Glucose d. >35 mg/dl lactate e. (+) bacteria in gram stain f. (+) Limulus Lysate test
BACTERIAL MENINGITIS
31
Features: a. Increased WBC count (Lymphocyte) b. Increased Protein c. Normal Glucose d. Normal Lactate
VIRAL MENINGITIS
32
Features: a. Increased WBC count (Monocyte, Lymphocyte) b. Increased Protein c. Decreased Glucose d. >25 mg/dL Lactate e. (+) Pellicle Formation/ Clot Formation (in specimen placed in refrigerator for 12-24 hours)
TUBERCULAR MENINGITIS
33
Features: a. Increased WBC count (Monocyte, Lymphocyte) b. Increased Protein c. Decreased Glucose d. >25 mg/dl Lactate e. (+) India Ink – demonstration of capsule
FUNGAL MENINGITIS
34
• Caused by free-living amoeba • Used of Acridine orange stain (amoeba stains brick-red) • Naegleria fowleri
PRIMARY AMOEBIC MENINGOENCEPHALITIS (PAM)