Bacterial Meningitis: Diagnosis & CSF Findings
Über den Vortrag
Der Vortrag „Bacterial Meningitis: Diagnosis & CSF Findings“ von John Fisher, MD ist Bestandteil des Kurses „Year 3 – Internal Medicine“. Der Vortrag ist dabei in folgende Kapitel unterteilt:
- Diagnosis – CSF Findings
- CSF Gram’s Stain
- CSF Rapid Tests
Quiz zum Vortrag
An 8-day-old boy is brought to a pediatrician for poor feeding over the past 24 hours, nausea, and vomiting. He is lethargic. On physical examination, his temperature is 38°C, respirations are 40/min and unlabored, the pulse is 120/min, and blood pressure is 75/50 mm Hg. Serum analysis reveals leukocytosis with a left shift. Blood chemistry and urinalysis are normal. Blood cultures are drawn. What is the most important next diagnostic step?
- Brain imaging
- Lumbar puncture
- Arterial blood gases
- Chest x-ray
Gram stain of cerebrospinal fluid from a 2-year-old child with clinical signs of meningitis shows gram-positive dipplococci with many neutrophils. What is the most likely pathogen?
- Streptococcus pneumonia
- Listeria monocytogenes
- Haemophilus influenzae
- Neisseria meningitidis
- Staphylococcus aureus
Cerebrospinal fluid analysis of a sick newborn who is 2 weeks old shows decreased glucose, increased proteins, and about >10 mononuclear lymphocytes, but no neutrophils. Which of the following bacterial etiologies is most likely?
- Listeria monocytogenes
- Streptococcus agalactiae
- Haemophilus influenzae
- Neisseria meningitidis
- Streptococcus pneumonia
Which of the following abnormalities is typically expected on cerebrospinal fluid analysis of a patient with bacterial meningitis?
- Decreased glucose concentration
- Increased spinal fluid glucose to serum glucose ratio
- Decreased protein concentration
- Increased mononuclear lymphocytes
- Decreased opening pressure
Which of the following is an absolute contraindication to performing a lumbar puncture?
- Clinical signs of increased intracranial pressure
- Fever greater than 103 degrees F
- History of prior lumbar discectomy
- Receipt of prior antibiotics
- Hypotension
Cerebrospinal fluid analysis shows increased white blood cells with neutrophillic predominance, decreased glucose concentration, increased protein concentration, negative Gram stain, and positive bacterial antigens. Which of the following is the most appropriate interpretation?
- Patient has been given antibiotics prior to lumbar puncture.
- Patient has a poor immune response.
- Patient does not have meningitis.
- Patient has viral meningitis.
- Not enough spinal fluid was collected for analysis.
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Dozent des Vortrages Bacterial Meningitis: Diagnosis & CSF Findings
John Fisher, MD
Dr. John F. Fisher is a Professor of Medicine and Infectious Diseases at the Medical College of Georgia, Augusta University in the USA.
He obtained his medical degree from Virginia Commonwealth University School of Medicine in 1969. He is a Master of the American College of Physicians (MACP) and is certified by the American Board of Internal Medicine in Medicine and Infectious Diseases.
Due to his achievements, he has earned the Annual J. Willis Hurst Teaching Award, the Jane F. Deforges Excellence in Medical Education Award, and the Infectious Diseases Society of America's Clinical Teacher Award.
Within Lecturio, Dr. Fisher teaches courses on Infectious Diseases.
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it's a well prepared material and professional doctor thank you sir
First of all, love the option to choose the speed of the video clip. Secondly, it was smartly taught, no matter which type you are, from visual to auditory-learner, you are going to understand and learn it easily. I also loved Dr. Fisher's (the lecturer) teaching style, brief description for medical terms, mentioning important DDx, plus his tone and not having specific accent.
