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Cerebralspinal Fluid (CSF) Laboratory Testing in Infection  Edward Omron MD, MPH
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Cerebralspinal Fluid (CSF) Laboratory Testing in Infection Edward Omron MD, MPH

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Major cerebralspinal fluid laboratory studies when evaluating a patient for meningitis versus encephalitis. I can never remember these tests when I need them. …

Major cerebralspinal fluid laboratory studies when evaluating a patient for meningitis versus encephalitis. I can never remember these tests when I need them.

Edward Omron MD, MPH, FCCP
Pulmonary and Critical Care Medicine
Morgan Hill, CA 95037

Published in: Health & Medicine
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  • 1. CSF AnalysisAdult patient with altered mental status, fever and high clinical suspicion for meningitis orencephalitis limited to Western USA.ANTIBIOTICS SHOULD NOT BE DELAYED IF MENINGITIS IS SUSPECTED AND THELUMBAR PUNCTURE CANNOT BE DONE INITIALLYCT Head followed by Lumbar PunctureContraindications to LP: Intracranial mass lesion to include brain abscess, subdural empyema,or large epidural abscess; increased ICP from any cause, coagulopathy or systemicanticoagulation, spinal deformity, and cellulitis at needle entrance site.STUDIESGram Stain and body fluid cultureFungal Stain and CultureAFB smear and cultureTotal Cell Count and DifferentialTotal ProteinGlucoseLDH (lactate dehydrogenase)LactateCryptococcus AntigenVDRL testEnterovirus by PCRWest Nile Virus RNA by RT-PCREncephalitis Panel, Serum with Reflex to HSV Type 1 and Type 2 Glycoprotein G-Specific Ab,IgGEdward Omron MD, MPH, FCCPPulmonary and Critical Care MedicineMorgan Hill, CA 95037

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