4 meningitis
Upcoming SlideShare
Loading in...5
×

Like this? Share it with your network

Share
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Be the first to comment
    Be the first to like this
No Downloads

Views

Total Views
768
On Slideshare
768
From Embeds
0
Number of Embeds
0

Actions

Shares
Downloads
12
Comments
0
Likes
0

Embeds 0

No embeds

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
    No notes for slide

Transcript

  • 1. INTERNAL MEDICINE
  • 2. Meningitis
    Def:
    Meningitis is swelling and irritation (inflammation) of the membranes covering the brain and spinal cord. This inflammation causes changes in the cerebrospinal fluid (CSF) that surrounds the brain and spinal cord.
  • 3. Meningitis
    Types of meningitis:
    Pyogenic meningitis
    Tuberculous meningitis
    Viral meningitis
  • 4. Meningitis
    Aetiology:
    A)bacterial meningitis-
    E.colli
    Group B streaptococci
    Neisseriameningitidis
    Streaptococcuspneumoniae
    Haemophilusinfluenzae
  • 5. Meningitis
    Aetiology:
    B)Tuberculous meningitis-
    Micobacterium tuberculosis
    C)Viral meningitis-
    Enterovirus
    Arbovirus
    Herpes simplex virus
    Mumps virus
    Inflenza virus
  • 6. Meningitis
    Aetiology:
    D)Protozoa and parasites-
    Toxoplasma
    Amoeba
    E)Fungi-
    Candida
    Histoplasma
    Cryptococcus neoformans
  • 7. Meningitis
    Aetiology:
    F)Others-
    Breast cancer
    Leukaemia
    Bronchial cancer
    Lymphoma
    SLE
    Sarcodosis(is a multisystem granulomatousinflammatory dis.)
  • 8. Meningitis
    Clinical feature in bacterial meningitis:
    Headache
    Fever
    Vomiting
    Drowsiness
    Restlessness
    Irritability
    Neck rigidity, kernig’s sign and brudzinski’s sign may positive
    Convulsion
    Coma
  • 9. Meningitis
    Clinical feature in tuberculous meningitis:
    Headache
    Vomiting
    Low grade fever
    Depression confusion
    Oculomotor palsies
    Palilloedema
  • 10. Meningitis
    Clinical features of viral meningitis:
    Occurs mainly in children or young adults
    Headache
    Irritability
    Rapid development of mental irritation
    There may be high pyrexia
  • 11. Meningitis
    Investigation-
    A)Bacterial meningitis
    CSF study
    Blood for C/S
    B)Tuberculous meningitis
    CSF study
    Culture of CSF
    CT scan
    C)Viral meningitis
    CSF study
  • 12. CSF study
  • 13. Meningitis
    Management of bacterial meningitis:
    1.Appropriate antibiotics-
    Benzylpenicillin 2.4 g i/v 6 hrly
    Cefotaxime 2 g i/v 6 hrly
    Ceftriaxone 2 g i/v 12 hrly with
    Vancomycin 1 g i/v 12 hrly
    2.Fluid and electrolytes balance
    3.Diazepam for convulsion
    4.Good nursing care
    5.Prevention and treatment of complication
  • 14. Meningitis
    Management of tuberculous meningitis:
    1.Antituberculous chemotherapy
    2.Pprednisolone 10 mg 6 hrly
    3.Maintin adequate hydration and nutrition
    Skilled nursing care
  • 15. Meningitis
    Management of viral meningitis:
    1.There is no specific treatment and usually benign and self-limiting
    2.Symptomatic treatment in a quiet enviroment
    3.Recovery usually occurs with in days