4 meningitis

758 views

Published on

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
758
On SlideShare
0
From Embeds
0
Number of Embeds
3
Actions
Shares
0
Downloads
15
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

4 meningitis

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

×