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12 Cards in this Set
- Front
- Back
Normal CSF Parameters WBC's Glucose Protein |
WBC's: 0-5 Glucose: 40-70 Protein: <40 |
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Bacterial Meningitis CSF analysis: WBC Glucose Protein |
WBC: >1000 Glucose: <40 Protein: >250 *Bacteria eat glucose and make proteins |
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Tuberculosis Meningitis CSF analysis: WBC Glucose Protein |
WBC: 5-1000 Glucose: <10 Protein: >250 *TB is extra hungry - consumes glucose |
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Viral Meningitis CSF analysis: WBC Glucose Protein |
WBC: 100-1000 Glucose: normal (40-70) Protein: <100 *Viruses aren't alive so they don't "eat" glucose and make "a little protein" |
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Guillan-Barre Meningitis CSF analysis: WBC Glucose Protein |
WBC: normal (0-5) Glucose: normal (40-70) Protein: 45-1000 *GB is sneaky, only protein may be elevated |
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Presentation of Herpes Simplex Encephalitis? |
Altered mental status Seizures Aphasia Hemiparesis *Stroke like because it is affecting the brain. |
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Cryptococcal meningitis testing? |
CSF fluid with cryptoccocal antigen test -High specificity -Mononuclear cells predominate (lymphocytes) *Look for HIV or immunosuppressed patient |
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CSF with >1000 WBC's - etiology? |
Bacterial Meningitis |
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CSF with super low glucose <10 - etiology? |
Tuberculosis Meningitis *Extra hungry |
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CSF with normal glucose, slightly elevated WBC's and slight protein elevation - etiology? |
Viral meningitis -mainly lymphocytes and negative Gram stain *Makes a little protein |
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Cryptococcus Meningitis - CSF reveals? |
WBC:<50 Glucose: 30(appx) Proteins: 100 (slight elevation) *Subacute course. Patient likely IVDA or HIV+ |
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Cryptococcus Meningitis Treatment? |
Amphotericin B and Flucytosine |