More Related Content Similar to LUMBER PUNCTURE By Dr Bashir Ahmed Dar Associate Professor Medicine Chinkipora Sopore Kashmir Similar to LUMBER PUNCTURE By Dr Bashir Ahmed Dar Associate Professor Medicine Chinkipora Sopore Kashmir (20) More from Prof Dr Bashir Ahmed Dar More from Prof Dr Bashir Ahmed Dar (20) LUMBER PUNCTURE By Dr Bashir Ahmed Dar Associate Professor Medicine Chinkipora Sopore Kashmir51. The white appearance of this calf brain is caused by neutrophils within the meninges – a condition known as meningitis. This is usually due to a bacterial infection. 52. This calf brain shows similar pathology. If a glass slide is pressed to the surface of the brain and stained it would show high numbers of neutrophils. 53. Bovine This brain shows irregular red spots which are areas of hemorrhage and necrosis caused by the bacteria, Histophilus somni . 156. CSF evaluation decreased increased < 500 Fungal decreased increased <500 TB Low to normal increased <1000 Viral <2.2 m mol/l 100-500 or >1.5gm/l >1000K PMN’s Bacterial, acute >50 (2.2 mmol to 4 mmol/l) 5-45 <5 , lymphocytes mainly Normal Glucose (mg/dL) Protein (mg/dL) WBC Condition 157. CSF Diagnosis Elevated (>100 mg) Low Elevated (PMN’s early, lymphs late TB Meningitis Normal or slightly elevated Normal to low Elevated (PMN’s early, lymphocytes late) Aseptic Meningitis Elevated (>100 mg) Low >1000 PMN’s predominate Bacterial Meningitis 15 to 45 mg/dl 2/3 rd of serum glucose <5 (lymphocytes) Normal Protein Glucose WBC 158. CSF evaluation Normal Upto 100 <1000 Viral low Upto 500 <500 Fungal low Increased upto 500 mg/dl <500 TB Low Increased>more than 100 mg/d >1000 PMN’s Bacterial, acute >50 5-45 <5, lymph's mainly Normal Glucose (mg/dL) Protein (mg/dL) WBC Condition 159. Summary of Typical CSF Findings +TB Negative Positive Negative Culture Increased +/- Increased Increased 5-40 Protein < 30% Normal <40% 66% CSF plasma: Glucose ratio Decreased Normal Decreased 60-80 Glucose Increased Predominate Late 5 Lymphocytes +/- increased Early Predominate 0 Polymorphs <500 <1000 >1000 0-5 Cells TB Viral Bacterial Normal