Unit 2: Meningitis and Encephalitis Flashcards Preview

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Flashcards in Unit 2: Meningitis and Encephalitis Deck (20):
1

L1: Which cause of viral meningitis does not have a targeted therapy?

WNV

2

L2: In bacterial meningitis CSF, WBCs are ______, glucose is _______, and there is a predominance of _______ in the CSF

increased; decreased; PMNs

3

L2: In bacterial meningitis, ______ may be useful in treatment of _______ cases when administered prior to or with the start of antibiotics

steroids; strep pneumoniae

4

L2: In viral meningitis CSF, WBCs are ______, glucose is _______, and there is a predominance of _______ in the CSF

increased; normal; lymphocytes

5

L2: Most common cause of bacterial meningitis in adults older than 35

Strep Pneumoniae

6

L2: Most common cause of bacterial meningitis in neonates

Group B strep

7

L2: Most common cause of bacterial meningitis in patients 2-23 months

Strep Pneumoniae

8

L2: Most common cause of bacterial meningitis in patietnts 2-35 years

Neisseria Meningitidis

9

L2: Most common viruses in viral encephalitis (2)

Arboviruses, HSV-1

10

L2: What cause of bacterial meningitis is more common in elderly patients than other adults?

Listeria

11

L2: What sign? Passive flexion of the neck causes flexion of the hips and knees

Brudzinski's

12

L2: What sign? Supine patient: flex thigh to abdomen, passive extension of leg, patient resists extension due to pain

Kernig's

13

L3: Classic Triad in Meningitis

Neck stiffness, headache, fever

14

L3: Diagnostic tests for viral meningitis

PCR, CSF IgM for WNV

15

L3: Most common viruses in viral meningitis (3)

Enteroviruses, HSV-2, Arboviruses (WNV)

16

L3: What is the treatment of bacterial meningitis in children or adults?

Vancomycin, ceftriaxone

17

L3: What is the treatment of bacterial meningitis in elderly?

Vancomycin, ceftriaxone, ampicillin

18

L3: What is the treatment of bacterial meningitis in immunocompromised patients?

Vancomycin, cefepime or meropenem, +/- ampicillin

19

L3: What is the treatment of bacterial meningitis in neonates?

Ampicilin, cefotaxime or aminoglycoside

20

L4: Clinical Features of viral encephalitis (5)

Headache, fever, altered consciousness, seizures, focal neurologic signs