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15230657
A child with a stiff neck
Descrição
Mapa Mental sobre A child with a stiff neck, criado por fatima alkhateeb em 22-09-2018.
Mapa Mental por
fatima alkhateeb
, atualizado more than 1 year ago
Mais
Menos
Criado por
fatima alkhateeb
quase 6 anos atrás
163
0
0
Resumo de Recurso
A child with a stiff neck
Anatomy
Skull
Meninges
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
Ventricular system
Lateral ventricles
3rd ventricle
4th ventricle
Foramen of Monro
Cerebral Aqueduct
Central canal
Meningitis
Inflammation of the protective membranes covering the brain and spinal cord (meninges)
Causes
Infectious
Viral
Bacterial
Neisseria Meningitidis
Listeria monocytogens
H.Influenza
Streptococcus agalactiae
Enterovirus
Cocxakie virus
Echovirus
Fungal
Cryptococcus newformans
Non-infectious
injury (head trauma), drugs and cancer
Signs and symptoms
Fever
Headache
Neck stiffness
Photophobia
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
Investigations
Lumbar Puncture
Insertion of needle in subarachnoid space at levels
In Infants: L4-L5 interspace
In Adults: L3-L4 interspace
Indications
Diagnostic
Therapeutic
Anesthesia
Injection of Drug (Antibiotic, Chemotherapy)
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
Physical examinations
Vital signs
Meningeal signs
General inspection
Neurological examinations
Kernig's sign
Brudzinski's sign
Management
Newborn
Adult
Elderly
Ampicillin + vancomycin + 3rd generation cephalosporin
Vancomycin + 3rd generation cephalosporins
Ampicillin + 3rd generation cephalosporin + Aminoglycoside
Anexos de mídia
74103ade2d601ce2e03f535b54967269 (binary/octet-stream)
222 (binary/octet-stream)
2222 (binary/octet-stream)
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