|
|
| (No se muestran 9 ediciones intermedias de 2 usuarios) |
| Línea 1: |
Línea 1: |
| ==Tests==
| | #REDIRECT[[Lumbar puncture]] |
| '''Standard'''
| |
| #tube 1 gs and culture | |
| #2 protein glc
| |
| #3 cell count w diff
| |
| #4 hold
| |
| | |
| '''Additional'''
| |
| #cryptoccal ag
| |
| #india ink
| |
| #afb pcr
| |
| #rpr vdrl
| |
| #fungal cx
| |
| #viral cx
| |
| #pcr for herpes viridae
| |
| #ldh >40 suggests bact. Meningitis < 40 viral (neches -pediatrics 1968)
| |
| | |
| ==Correction==
| |
| for each 1000 rbc dec prot. By 1mg/dl
| |
| | |
| actual WBC =counted WBC-RBC csfx (Wbc blood/Rbc blood).
| |
|
| |
| ==When to CT before LP==
| |
| #AMS
| |
| #focal deficit or papilledema
| |
| #head trauma (recent or remote)
| |
| #new onset seizure (except poss febrile seizure in child)
| |
| #HIV+
| |
| #IVDA only if other above findings are present.
| |
| #age over 60
| |
| | |
| ==When to treat infants under 4-6 weeks empirically for herpes encephalitis:==
| |
| #csf pleocytosis consistent w/ encephalitis + 1 of the following:
| |
| ##HSV skin eye or mouth manifest.
| |
| ##focal neuro findings or seizure
| |
| ##sepsis with pneumonitis or hepatitis
| |
| ##mother w/ genital HSV at delivery
| |
| ##consider for very toxic fever >39 EC.
| |
| | |
| ==Source==
| |
| 7/2/09 PANI
| |
| | |
| [[Category:ID]]
| |
| [[Category:Neuro]]
| |
| [[Category:Procedures]] | |
