Encephalitis Flashcards
1
Q
Def of encephalitis?
A
Inflammation of brain parenchyma
2
Q
Common cause of viral encephalitis?
A
Herpes simplex virus goes in brain via olfactory nerve
3
Q
D/D?
A
Acute metabolic encephalopathy Cerebral tumor Bacterial and tuberculous meningitis Brain abscess Stroke
4
Q
Causes of viral?
A
Herpes simplex Echo Mumps Influneza Measels Arbo Rabies Hiv Polio Coxsackie
5
Q
Clinical features
A
Headache fever meningism drowsiness
Aphasia, cranial nerve palsies
Altered conciousness and seizures are more common in encephalitis then meningitis
Patients is agitated but not in meningitis
6
Q
Investigation
A
Ct eeg csf examination
Viral serology
Pcr
Herpex simple shows edema and low density lesion in temporal lobe on ct scan
7
Q
Nursing of unconscious patient
Dexamethasone 4mg for increase icp
Acyclovir
Anticonvulsant if seizures occur
A
Treatment
8
Q
Rassuman encephlitis?
A
Affect single cerebral hemisphere and occuring in young age.
