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| (No se muestran 10 ediciones intermedias de 2 usuarios) |
| Línea 1: |
Línea 1: |
| ==Tests==
| | #REDIRECT[[Lumbar puncture]] |
| '''Standard'''
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| #tube 1 gs and culture | |
| #2 protein glc
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| #3 cell count w diff
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| #4 hold
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| | |
| '''Additional'''
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| #cryptoccal ag
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| #india ink
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| #afb pcr
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| #rpr vdrl
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| #fungal cx
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| #viral cx
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| #pcr for herpes viridae
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| #ldh >40 suggests bact. Meningitis < 40 viral (neches -pediatrics 1968)
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| | |
| ==Correction==
| |
| for each 1000 rbc dec prot. By 1mg/dl
| |
| | |
| actual WBC =counted WBC-RBC csfx (Wbc blood/Rbc blood).
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|
| |
| ==When to ct before LP==
| |
| #AMS
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| #focal deficit or papilledema
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| #head trauma (recent or remote)
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| #new onset seizure (except poss febrile seizure in child)
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| #HIV+
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| #IVDA only if other above findings are present.
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| #age over 60
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| | |
| ==When to treat infants under 4-6 weeks empirically for herpes encephalitis:==
| |
| #csf pleocytosis consistent w/ encephalitis + 1 of the following:
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| ##HSV skin eye or mouth manifest.
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| ##focal neuro findings or seizure
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| ##sepsis with pneumonitis or hepatitis
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| ##mother w/ genital HSV at delivery
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| ##consider for very toxic fever >39 EC.
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| | |
| ==Source==
| |
| 7/2/09 PANI
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| | |
| [[Category:ID]]
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| [[Category:Neuro]]
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| [[Category:Procedures]] | |
