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13 Cards in this Set
- Front
- Back
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What are the CSF findings in meningitis?
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Glucose < 50
Protein >150 WBC >1200 Lactic acid >35 |
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S. Pneumoniae
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MIC <0.1
Pen G 4 million units q4h Amp 2gm q4h 3rd gen ceph MIC 0.1-1 3rd gen ceph cefepime or mero MIC >2 Vanco plus 3rd gen ceph Moxifloxacin |
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Neiserria meningitis
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MIC <0.1
Pen G 4 million q4h amp 2gm q4h 3rd gen ceph MIC 0.1-1 3rd gen ceph |
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H influenzae
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Beta lactamase neg
Amp 3rd gen ceph FQ beta lactamase positive 3rd gen ceph cefepime FQ |
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Strep agalactiae
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Pen G 4 mill q4h
amp 2gm q4h 3rd gen ceph |
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Listeria
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pen g 4 mill q4h
amp 2gm q4h septra meropenem |
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What is the role of corticosteroids in meningitis
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Less hearing less for children with H influenzae
Decreased mortality for adults for S. pneumoniae Give 10-20 mins before abx |
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How do you prophlax for S pneumoniae
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All children less than 2 YO should get pneumovax 13
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How do you prophlax fr Neiserria meningitis
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Chemoprophylaxis for close contacts and exposure to oral secretions
Rifampin Cipro 500mg po x 1 (adults only) Ceftriaxone 250-500mg IM x 1 |
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Menacta (meningococcal vaccine)
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Young adolescents (11-12yo)
College freshmen in dorms Military recruits meningitis belt people with asplenia Booster dose only for adolescents 16 yo if they received first dose 5 years ago |
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How do you propylax for h influenze
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Rifampin
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When do you give H influenzae vaccine
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All children
asplenia sickle cell hodgkin dx solid organ transplant immunosuppressed |
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How do you treat brain abscess
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depends on source
otitis media: flagyl + 3rd gen cep sinusitis: flagyl + 3rd gen ceph dental sepsis: pen + flagyl trauma or post neurosurg: vanco + 3rd gen ceph lung abscess: pen plus flagyl plus sulfonamide |
