Meningitis

Question 1

what is meningitis?

Answer 1

Acute inflammation of meningeal tissues of brain and spinal cord

Question 2

EtiOlogy

Answer 2

infection – lungs/bloodstream
Penetrating wounds
Strep, pneumonia
nesseria meningitis
Enteroviruses

Question 3

what are the three layers of meninges?

Answer 3

Pia matter
Arachnoid
Dura matter

Question 4

risk factors

Answer 4

Pia matter and arachnoid, ventilation system, CSP most affected

Fall, winter
Follows infections, respiratory droplets, contaminated saliva, and respiratory secretions

Older and college age
Prisoners, military bases

Question 5

patho

Answer 5

infection of arachnoid matter, and CSF
Inflammation response, and pus secretion
Increased CSF production
Increased ICP

Question 6

Classic triad

Answer 6

fever
Headache – throbbing
Stiff neck

Question 7

s/sx

Answer 7

N/V
Photophobia
Altered LOC – drowsy, seizures
Meningococcus – skin rash, petechiae

Question 8

positive Kernig’s sign

Answer 8

Resistance to leg extension

Question 9

positive brudzinski sign

Answer 9

Neck flexion causes hip/knee flexion

Question 10

Bacterial infection cause

Answer 10

more common, more fatal
Needs immediate antibiotics
Petechiae rash

Long-term – hearing loss, seizures, brain damage

Question 11

Viral infection cause

Answer 11

milder form
No long-term effects

Question 12

bacterial infection treatment

Answer 12

Aggressive. – IV
Ceftriaxone, Vancomyosin, acyclovir
Steroid therapy
Vaccines prophylaxis