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15296986
A child with a stiff neck
Description
Mind Map on A child with a stiff neck, created by Menna Emam on 26/09/2018.
Mind Map by
Menna Emam
, updated more than 1 year ago
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Created by
fatima alkhateeb
about 6 years ago
Copied by
Menna Emam
about 6 years ago
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Resource summary
A child with a stiff neck
Anatomy
Skull
CSF
Secretion
From the choroid plexus, which are found on the lateral ventricles, roof of the 3rd ventricle, and the 4th ventricle
Absorption
Absorbed from the superior sagittal sinus through the arachnoid villi
Circulation
Through the ventricular system
Meninges
Ventricular system
Lateral ventricles
3rd ventricle
4th ventricle
Foramen of Monro
Cerebral Aqueduct
Central canal
Meningitis
Pathology
1. penetrate the blood-brain barrier
2. endotoxin and inflammatory mediators
3. leakage of protein and fluid out of the cerebral vasculature
4. causing cerebral edema , increase intracranial pressure
5. lead to a reduction in cerebral perfusion
6. Brain death
Management
Newborn
Adult
Elderly
Ampicillin + vancomycin + 3rd generation cephalosporin
Vancomycin + 3rd generation cephalosporins
Ampicillin + 3rd generation cephalosporin + Aminoglycoside
Physical examinations
Neurological examinations
General inspection
Meningeal signs
Kernig's sign
Brudzinski's sign
Vital signs
Investigations
Lumbar Puncture
In Infants: L4-L5 interspace
In Adults: L3-L4 interspace
Indications
Anesthesia
Therapeutic
Injection of Drug (Antibiotic, Chemotherapy)
Diagnostic
Sample CSF (Infections, Cancers, Subarachnoid Hemorrhage, Neurologic Disorders)
Measure pressure
Contra-indications
Increased intracranial pressure
Infections at the level of insertion
Uncorrected Coagulopathy
Complications
Severe headache
Hemorrhage
Back pain
Signs and symptoms
Fever
Headache
Neck stiffness
Photophobia
Causes
Infectious
Bacterial
Neisseria Meningitidis
Listeria monocytogens
H.Influenza
Streptococcus agalactiae
Viral
Enterovirus
Cocxakie virus
Echovirus
Fungal
Cryptococcus newformans
Non-infectious
injury (head trauma), drugs and cancer
Media attachments
74103ade2d601ce2e03f535b54967269 (binary/octet-stream)
222 (binary/octet-stream)
Csf Analysis (binary/octet-stream)
Timor3 Ach2 F049 (binary/octet-stream)
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