A child with a stiff neck

Beschreibung

Mindmap am A child with a stiff neck, erstellt von fatima alkhateeb am 22/09/2018.
fatima alkhateeb
Mindmap von fatima alkhateeb, aktualisiert more than 1 year ago
fatima alkhateeb
Erstellt von fatima alkhateeb vor fast 6 Jahre
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Zusammenfassung der Ressource

A child with a stiff neck
  1. Anatomy
    1. Skull
      1. Meninges
        1. CSF
          1. Secretion
            1. From the choroid plexus, which are found on the lateral ventricles, roof of the 3rd ventricle, and the 4th ventricle
            2. Absorption
              1. Absorbed from the superior sagittal sinus through the arachnoid villi
              2. Circulation
                1. Through the ventricular system
            3. Ventricular system
              1. Lateral ventricles
                1. 3rd ventricle
                  1. 4th ventricle
                2. Foramen of Monro
                  1. Cerebral Aqueduct
                    1. Central canal
              2. Meningitis
                1. Inflammation of the protective membranes covering the brain and spinal cord (meninges)
                  1. Causes
                    1. Infectious
                      1. Viral
                        1. Bacterial
                          1. Neisseria Meningitidis
                            1. Listeria monocytogens
                              1. H.Influenza
                                1. Streptococcus agalactiae
                          2. Enterovirus
                            1. Cocxakie virus
                              1. Echovirus
                          3. Fungal
                            1. Cryptococcus newformans
                          4. Non-infectious
                            1. injury (head trauma), drugs and cancer
                            2. Signs and symptoms
                              1. Fever
                                1. Headache
                                  1. Neck stiffness
                                    1. Photophobia
                                2. Pathology
                                  1. 1. penetrate the blood-brain barrier
                                    1. 2. endotoxin and inflammatory mediators
                                      1. 3. leakage of protein and fluid out of the cerebral vasculature
                                        1. 4. causing cerebral edema , increase intracranial pressure
                                          1. 5. lead to a reduction in cerebral perfusion
                                            1. 6. Brain death
                                  2. Investigations
                                    1. Lumbar Puncture
                                      1. Insertion of needle in subarachnoid space at levels
                                        1. In Infants: L4-L5 interspace
                                          1. In Adults:  L3-L4 interspace
                                        2. Indications
                                          1. Diagnostic
                                            1. Therapeutic
                                              1. Anesthesia
                                                1. Injection of Drug (Antibiotic, Chemotherapy)
                                                2. Sample CSF (Infections, Cancers, Subarachnoid Hemorrhage, Neurologic Disorders)
                                                  1. Measure pressure
                                              2. Contra-indications
                                                1. Increased intracranial pressure
                                                  1. Infections at the level of insertion
                                                    1. Uncorrected Coagulopathy
                                                2. Complications
                                                  1. Severe headache
                                                    1. Hemorrhage
                                                      1. Back pain
                                                3. Physical examinations
                                                  1. Vital signs
                                                    1. Meningeal signs
                                                      1. General inspection
                                                        1. Neurological examinations
                                                        2. Kernig's sign
                                                          1. Brudzinski's sign
                                                      2. Management
                                                        1. Newborn
                                                          1. Adult
                                                            1. Elderly
                                                              1. Ampicillin + vancomycin + 3rd generation cephalosporin
                                                              2. Vancomycin + 3rd generation cephalosporins
                                                              3. Ampicillin + 3rd generation cephalosporin + Aminoglycoside
                                                  Zusammenfassung anzeigen Zusammenfassung ausblenden

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