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Medicine 5th year, 5th lecture/part one (Dr. Mohammed Tahir)

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College of Medicine, Sulaymaniyah
College of Medicine, Sulaymaniyah

The lecture has been given on May 21st, 2011 by Dr. Mohammed Tahir.

Gesundheit & Medizin
1 von 22
NERVOUS SYSTEM INFECTIONS MENINGITIS Acute infection of the meninges presents with the characteristic combination: pyrexia Headache Meningism
CAUSES OF MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Fever,Headache,Nuchal rigidity ,[object Object],[object Object],[object Object],[object Object],Brain imaging CSF
Bacterial causes of meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neonate G-negative bacilli Group B streptococci
Pre-school child Haemophillus ifluenza Neisseria meningitidis Streptococcus pneumonia
Older child & adult Neisseria meningitidis Streptococcus pneumoniae Listeria monocytogenes
CSF INDICES IN MENINGITIS often Increase Low 50-5000 L/P,M TB + N/ Increase Low 1000 5000 Poly Bacterial - normal normal 10-2000 Lymp Viral - Normal >60% B-G 0-4 Lymp Normal G- stain protein Glucose CELL Count CELl Type Condition
CHEMOTHERAPY OF BACTERIAL MENINGGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment of pyogenicmeningitis of unknown cause ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Recommendations for Empirical antimicrobial therapy in adult with community-acquired meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chemoprophylaxis for meningococcal infection ,[object Object],[object Object],[object Object],[object Object]
COMPLICATIONS OF MININGOCOCCAL SEPTICEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Major intracranial complications in Bacterial meningitis in adult ----------------------------------------- 1-Transtentorial herniation 2-Hydrocephalus 3-Infarction 4-Seizures
CLINICAL FEATURES OF TB MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Signs ,[object Object],[object Object],[object Object],[object Object],[object Object]
Viruses causing acute encephalitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Viruses causing acute meningitis ,[object Object],[object Object],[object Object]
Practical points ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Chronic & recurrent meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Symptoms & signs of chronic meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

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Medicine 5th year, 5th lecture/part one (Dr. Mohammed Tahir)

  • 1. NERVOUS SYSTEM INFECTIONS MENINGITIS Acute infection of the meninges presents with the characteristic combination: pyrexia Headache Meningism
  • 2.
  • 3.
  • 4.
  • 5. Neonate G-negative bacilli Group B streptococci
  • 6. Pre-school child Haemophillus ifluenza Neisseria meningitidis Streptococcus pneumonia
  • 7. Older child & adult Neisseria meningitidis Streptococcus pneumoniae Listeria monocytogenes
  • 8. CSF INDICES IN MENINGITIS often Increase Low 50-5000 L/P,M TB + N/ Increase Low 1000 5000 Poly Bacterial - normal normal 10-2000 Lymp Viral - Normal >60% B-G 0-4 Lymp Normal G- stain protein Glucose CELL Count CELl Type Condition
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14. Major intracranial complications in Bacterial meningitis in adult ----------------------------------------- 1-Transtentorial herniation 2-Hydrocephalus 3-Infarction 4-Seizures
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.