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12 Cards in this Set
- Front
- Back
What are the organisms that cause meningitis in neonates and <2 months |
group B strept
Enterobacteriae Gram negative rods Listeria (Thinks B sitting in the toilet gargling listerine) |
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What are the organisms that cause meningitis in age >6
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Neisseria Meningitidis (gram negative)
Strept pnumoniae (gram positive) H influenzae (gram negative) NB: in all types, can be vaccinated inc serotype C for N meninigitidis |
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What are the organism that causes meningitis in HIV/immunocomprimised
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Cryptococcus
Tb Fungus |
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Empirical therapy for meningitis
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Ceftriaxone 2g (or 50mg/kg) bd
(bring out the big stuff, usual does for ceftriaxone is 1g once a day!!) AND Benzylpenicillin 2.4g (or 60mg/kg) 4 hourly IF listeria suspected ( in older and immunocompromised) AND Vancomycin 1.5g (or 30mg/kg) bd if strept pneumoniae likely as it has high resistant to penicillin/cephalosporin |
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Steroid therapy for meningitis
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Dexamethasone 10mg (or 0.15mg/kg in children) with or before antibiotics dose to improve neurological outcome
Not proven in neonates |
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Empirical therapy for neonates meningitis
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Cefotaxime 50mg/kg up to 2g and benzylpenicillin 50mg/kg up to 2.4g q4 hourly
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Empirical therapy for the allergic for meningitis
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vancomycin 1.5 g (30mg/kg) and ciprofloxacin 400mg (10mg/kg)
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Prophylaxis for contacts for meningitis
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Those with documented N meningitides infection |
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What is contraindicated for Thrombolysis of Stroke that is not contraindicated in MI |
1. Coagulopathy PLatelt count <100 Abnormal APTT INR >1.7
As opposed to for MI, it is relative contraindication
2. SBP >185, DBP >110 CI in Stroke
Reltive CI in MI W |
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ABCD2 score
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Age >60
Bp 140/90 Clinical finding - unilateral weakness 2 - speech only 1 Duration < 10 min 0 10- 59 min 1 > 60 min 2 Diabetes >4 High risk. Admit and work up |
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ABCD2 score
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Age >60
Bp 140/90 Clinical finding - unilateral weakness 2 - speech only 1 Duration < 10 min 0 10- 59 min 1 > 60 min 2 Diabetes >4 High risk. Admit and work up |
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What % of carotid stenosis is critical and need vascular consult
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70%
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