Neurology

Question 1

normal flora - neurology

Answer 1

sterile

Question 2

meningitis - viral

Answer 2

Et: enterovirus
Hx: acute, fever, HA, stiff neck
Test: Lumbar puncture
Tx: supportive; unless cannot exclude bacteria

Question 3

meningitis - bacterial

Answer 3

Et: neonates - strep Grp B
Child/Adult - Strep pneumoniae, neisseria meningitidis
Elderly - strep pneumoniae
Hx: F/C/V HA photophobia; petechial rash (neisseria meningitidis
Test: LP; culture before abx

Question 4

meningitis - fungal

Answer 4

happens

Question 5

Encephalitis

Answer 5

Et: HSV 1&2, mycoplasma pneumoniae

*complication from unusual viral infection

Question 6

Brain Abscess

Answer 6

Et: streptococci
    *osteomyelitits nasal sinus; otitis media; dental; penetrating wound
Hx: HA, F/V
PE: focal neural deficit
Tx: abx, antifungal, anticonvulsants

Question 7

Botulism

Answer 7

Et: clostridium botulinum
Hx: nausea, dry mouth, diarrhea, diplopia, nystagmus
PE: paralysis
     infant: poor feeding, lethargy
Tx: ICU, anti-toxin

Question 8

Tetanus

Answer 8

Et: clostridium tetani; rusty nail; neurotoxin
PE: muscle contraction
Tx: supportive; TdaP

Question 9

Rabies

Answer 9

Et: RNA Rhabdovirus; saliva - bat, dog, wild carnivores
Hx: pn, parenthesia @ site; sensitive to temp and wind; musc spasms
Tx: rabies immune globin; vaccine
Prog: fatal