CNS Infections

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CNS Infections에 관한 PPT입니다

목차

Admission Note
-Identification
-Chief complaint
-Present illness
-Past History
-Social History
-Familiy History
-Review of System
-Physical Exam
-Initial Lab
-LFT
-Brain CT
-Brain MR
-Impression
-Plan

DISEASE REVIEW
CNS Infections
-Infection of CNS coverings
-Infections of neural tissue
-Pachymeningitis
-Leptomeningitis (commonly purulent)
-Acute lymphocytic meningitis
-Chronic meningitis
-Infections associated with formation of intracranial mass
-CNS syphilis (tertiary)
-Primary encephalitis
-Primary viral encephalitis

Encephalitis
-Primary encephalitis – morphology
-Primary encephalitis
-Secondary encephalitis
-Postinfectious encephalomyelitis

본문내용

Admission Note
Past History
HTN/DM/Pul. TB/Liver dz.(-/-/-/-)
Social History
Alcohol: social
Smoking: none
Familiy History
Unremarkable

Admission Note
Review of System

Admission Note
Physical Exam
Vital sign: BP 120/80, PR 78, RR 22, BT 37.6 ℃
General appearance: Acute ill appearance
Mental state: Confused mentality
HEENT: Not pale conjunctiva, anicteric sclera
Chest: clear breathing sound w/o rale regular heart beat w/o murmur
Abdomen :soft and flat Td/RTd (-/-)
Extremity : no pretibial pitting edema

Admission Note
Initial Lab
Blood chemistry
Electrolytes

Admission Note
LFT

Admission Note
Brain CT

Admission Note
Brain MR

Admission Note
Brain MR

Admission Note
Brain MR

Admission Note
Impression
Confused mentality cause?
r/o CNS infection (viral)

Plan
CSF study
Brain infection
Lab F/U

DISEASE REVIEW


CNS Infections
Infection of CNS coverings
Dura ? pachymeningitis
Leptomeninges - leptomeningitis
Infections of neural tissue
Brain ? encephalitis
Spinal cord ? myelitis
Ventricles - ventriculitis

CNS Infections
Pachymeningitis
Sources
Direct spread from chronic suppurative infections of sinuses, ear, mastoid or compound fracture
Manifestations
Usually localised +/- overlying osteomyelitis
Extradural abscess
Subdural empyaema
Spinal epidural abscess.

참고 자료

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