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Adult Meningitis Diagnosis & Treatment Guide

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Dino Sgarabotto
Dino Sgarabotto
Saúde e medicina
1 de 43
Meningitis in Adults Dr. Dino Sgarabotto Malattie Infettive e Tropicali Azienda Ospedaliera di Padova
ACUTE CNS INFECTIONS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APPROACH TO THE PATIENT WITH SUSPECTED MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APPROACH TO THE PATIENT WITH SUSPECTED MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
CSF SMEARS & STAINS ,[object Object],[object Object],[object Object]
CEREBROSPINAL FLUID PROFILES* ,[object Object],[object Object],[object Object],[object Object],[object Object]
BACTERIAL VS VIRAL MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
APPROACH TO THE PATIENT WITH SUSPECTED MENINGITIS ,[object Object],[object Object],[object Object],[object Object],[object Object]
TO LP OR NOT TO LP ,[object Object],[object Object],[object Object]
THE PATIENT WITH SUSPECTED CNS INFECTION Contraindications to LP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
CNS INFECTIONS CCT ,[object Object],[object Object],[object Object],[object Object]
CCT Before LP in Patients with Suspected Meningitis ,[object Object],[object Object],[object Object],[object Object]
CCT Before LP (Cont.) ,[object Object],[object Object],[object Object],[object Object]
CNS INFECTIONS MRI ,[object Object],[object Object]
THE PATIENT WITH SUSPECTED CNS INFECTION Role of Repetitive LP’s ,[object Object],[object Object],[object Object],[object Object]
 
 
 
Skin rashes ,[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],New Engl J Med 2006;354:44-53
initial approach ,[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]
New Engl J Med 2006;354:44-53
New Engl J Med 2006;354:44-53
[object Object],[object Object]
adjunctive dexamethasone therapy ,[object Object]
[object Object],[object Object]
[object Object]
intensive care management New Engl J Med 2006;354:44-53
decline in consciousness New Engl J Med 2006;354:44-53
Lindvall P, et al Reducing intracranial pressure may increase survival among patients with bacterial meningitis Clin Infect Dis 2004;38:384-90 ,[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
focal neurologic abnormalities ,[object Object],[object Object]
[object Object],[object Object]
New Engl J Med 2006;354:44-53
repeated lumbar puncture ,[object Object],[object Object],[object Object]
outcome ,[object Object],[object Object],[object Object]
[object Object],[object Object]
future directions ,[object Object],[object Object]

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