logging in or signing up Meningitis, CNS infections, bacteria, virus, fungus neurology1 Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 735 Category: Science & Tech.. License: All Rights Reserved Like it (1) Dislike it (0) Added: October 29, 2010 This Presentation is Public Favorites: 0 Presentation Description A clinical approach to meningitis for medical professionals, physicians, medical students, residents Comments Posting comment... Premium member Presentation Transcript Meningitis : Meningitis Dr Rahul Chakor MD DM Slide 2: Inflammation of the Leptomeninges Various Etiologies Microbial Autoimmune Granulomatous Drugs Other Slide 3: Bacterial Group B Streptococcus L monocytogenes S pneumoniae N meningitides H influenzae Gram-negative bacilli Staphylococci Mycobacterial Slide 4: Viral Echovirus, Coxsackie, HSV 2, Mumps, LCMV, Adenovirus, HIV Arboviruses Fungal Cryptococcal Autoimmune disorders SLE, Vasculitis Sarcoidosis Slide 5: Drugs NSAIDS,Immunoglobulins Others Mollaret recurrent Meningitis, Parasitic Vogt Koyanagi Harada syndrome Parameningeal Focus Neoplastic Invasion Pyogenic Meningitis : Pyogenic Meningitis Hematogenous spread Local spread Inflammatory reaction Complications Resolution Symptoms : Symptoms Fever Severe Headache Vomiting Convulsions Disturbed Consciousness Focal Cerebral deficits Specific Features : Specific Features Meningococcal Meningitis Epidemic.Rapid evolution to delirium, stupor within hours. Petechial, purpuric rash on feet, circulatory shock. Pneumococcal Meningitis Preceeded by pneumonia,endocarditis.In adults,sporadic, recurrent, alcoholic, splenectomized pts. H influenzae Children following upper respiratory and ear infection. Physicial Signs : Physicial Signs Cerebral dysfunction- delirium to coma Focal deficits-occasionally Cranial nerve deficits-3rd 6th 7th Neck Stiffness, Kernig’s sign, Brudzinski’s sign Classical signs absent in Neonates, Elderly and Immunocompromised Likely Pathogen : Likely Pathogen Investigations : Investigations Blood Tests Neuroimaging CSF study Blood Culture Approach : Approach Suspicion of Meningitis Papilloedema or focal Neurological signs CBC, Blood Culture Head CT No Mass Lesion CSF Analysis Approach : Approach Causative Organism Detected Treatment as per Microorganism Prophylaxis of Contacts Look for Complications Adjunctive Therapy Antibiotic Choice : Antibiotic Choice Antibiotic Choice : Antibiotic Choice Adjunctive Therapy : Adjunctive Therapy Dexamethasone 3months and above (Tunkel and Scheld) simultaneously or before antibiotics Children with H influenzae Pneumococcal meningitis in adults CSF study in 24-48 hrs. Adjunctive Therapy : Adjunctive Therapy ICP monitoring Vigorous Treatment of ICP Treatment of Seizures Treatment of Shock and DIC Complications : Complications Septic Venous Thrombophlebitis Arteritis with Infarcts Subdural Empyma Hydrocephalus Cerebritis and Brain abscess Slide 21: Thank You You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.