l*h
发帖数: 4124 | 1 this doesn't sound like a sinusitis. it fits better with a branch cranial
neuralgia. in this case, small branches of CN V. meningeal branches could be
involved. |
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y*****g
发帖数: 193 | 2 meningitis complicated with pericarditis? |
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c********e
发帖数: 496 | 3 monitor the temperature frequently,
some symptoms just take time to show up,
some pediatric diseases present with fever only, like UTI, meningitis and so
on.
what virus, hand foot mouth? |
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l*h
发帖数: 4124 | 4 people should understand tb of the lung is only a small part of the big tb
picture. tb infection of other parts also kills, in some cases with a higher
mortality than tb of the lung.
so many tuberculous infections are common in China: lymph node, meninges,
plura, peritoneum, bone, oviducts etc. and people just choose to ignore them
when talking about numbers. |
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l*h
发帖数: 4124 | 5 no local authority will bug you, but you are taking a big risk if not
treated now.
for 20-30 year olds otherwise completely healthy, the chance of getting
active infection in the next 10 years is 10-20%. for older people, it's even
higher. to make things worse, this kind of infection occurs usually when
you have other conditions making treatment very difficult. and this kind of
infection is usually not in the lung, but rather in other places, such as
tuberculous meningitis, tuberculous pericardi... 阅读全帖 |
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l*h
发帖数: 4124 | 6 no local authority will bug you, but you are taking a big risk if not
treated now.
for 20-30 year olds otherwise completely healthy, the chance of getting
active infection in the next 10 years is 10-20%. for older people, it's even
higher. to make things worse, this kind of infection occurs usually when
you have other conditions making treatment very difficult. and this kind of
infection is usually not in the lung, but rather in other places, such as
tuberculous meningitis, tuberculous pericardi... 阅读全帖 |
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a****e
发帖数: 88 | 7 中国一朋友，患有隐球菌脑膜炎（cryptococcal meningitis），在协和医院治疗了8个
月，现在协和基本上觉得无能为力，所以患者家属想查找一下看看美国这边有没有在这
方面特别有经验的医院，如果有希望，哪怕是希望很小，他们考虑把患者转到美国救治。
如果你有生么好的的建议，请告知，不胜感激！
患者的一些情况见下：
患者： 女 34岁，2009年12月患红斑狼疮疾病采用激素和免疫抑制剂治疗，病情稳
定，2013年3月感染隐球菌脑膜炎，目前在中国协和医院治疗8个月，感染一直反复。最
近检查T细胞群中的CD4只有39个，正常人的值应该为500个。
2013年
3月12日 入住宣武医院，开始口服大扶康
3月24日 从宣武医院出院，每天在家口服大扶康
6月9日 脑脊液墨汁染色阳性，脑脊液抗原1：2
9月6日 脑脊液墨汁染色阳性，脑脊液抗原1：64
9月27日 入住解放军301医院，开始点滴国产两性霉素B脂质体（共使用0.71克）
10月9日 转院到协和医院，停用国产两性霉素B脂质体，使用大扶康点滴
11月5日 脑脊液墨汁染色转阴
11月15日 脑脊液墨汁染色阳性，... 阅读全帖 |
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a****e
发帖数: 88 | 8 中国一朋友，患有隐球菌脑膜炎（cryptococcal meningitis），在协和医院治疗了8个
月，现在协和基本上觉得无能为力，所以患者家属想查找一下看看美国这边有没有在这
方面特别有经验的医院，如果有希望，哪怕是希望很小，他们考虑把患者转到美国救治。
如果你有生么好的的建议，请告知，不胜感激！
患者的一些情况见下：
患者： 女 34岁，2009年12月患红斑狼疮疾病采用激素和免疫抑制剂治疗，病情稳
定，2013年3月感染隐球菌脑膜炎，目前在中国协和医院治疗8个月，感染一直反复。最
近检查T细胞群中的CD4只有39个，正常人的值应该为500个。
2013年
3月12日 入住宣武医院，开始口服大扶康
3月24日 从宣武医院出院，每天在家口服大扶康
6月9日 脑脊液墨汁染色阳性，脑脊液抗原1：2
9月6日 脑脊液墨汁染色阳性，脑脊液抗原1：64
9月27日 入住解放军301医院，开始点滴国产两性霉素B脂质体（共使用0.71克）
10月9日 转院到协和医院，停用国产两性霉素B脂质体，使用大扶康点滴
11月5日 脑脊液墨汁染色转阴
11月15日 脑脊液墨汁染色阳性，... 阅读全帖 |
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a*******s
发帖数: 436 | 9 。。。不要误导大家
我同事的二宝，还没来得及接种疫苗就被大宝给传染了脑膜炎，万幸急诊救回来了
（大宝啥事情都没有，因为早接种过疫苗了）
就算你没有大宝，大人总是要接触各种antigen的，你能保证宝宝的安全吗
自己去google一下meningitis wiki page吧，看看你能不能承受这个可能的后果，而脑
膜炎不过是可能的一种，还有太多可怕的东西 |
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L*******7
发帖数: 14902 | 10 GBS是啥东东？刚放狗搜了下，是这东东么？
Group B Streptococcus (GBS) is the most common cause of sepsis (blood
infection) and meningitis (infection of the fluid and lining surrounding
the brain) in newborns.
Between 10 and 35 percent of women carry this bacteria within the vagina
and or the lower intestine. Most of the time, the bacteria does not cause
any symptoms in the pregnant woman, although it can cause bladder and
uterine infections (amnionitis, endometritis)......... |
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x*****a
发帖数: 7797 | 11 The wait-and-see approach is fine for some kids' health problems. But not
these.
By Kristyn Kusek Lewis
When you become a parent, you earn a medical merit badge of sorts. Whether
you're sopping up a goopy nose or extracting a dangling-by-a-thread baby
tooth, eventually few things faze you. But sometimes it's tough to tell what
warrants a call to your doctor's office: Which temperature actually
classifies as a "high fever"? What kind of tummy ache means your child has
more than your average stoma... 阅读全帖 |
|
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c*******g
发帖数: 299 | 13 宝宝还有十多天就要过一岁生日了。但昨天下午开始莫名发烧，体温在98度到102度左
右徘徊。无流鼻涕、咳嗽、呕吐、拉肚子和任何过敏等。
今天下午送去看医生的路上，发现脖子右侧几乎全部肿大起来，没有一点精力，哼哼唧
唧的半昏迷状态。
医生看了后，说怀疑是未知细菌感染，淋巴发炎，查血后说白细胞偏高。
还说不大可能是spinal meningitis。
但如果继续发烧和淋巴使得宝宝不能转头或者吞咽困难，就得立即送ER。
医生也说没怎么见过这种病例，很多未知，未知病菌，未知的发病原因，很担心宝宝。
希望我的宝宝能快点好起来。
求bless~~谢谢大家了~ |
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d*****n
发帖数: 12 | 14 4th UPDATE:Merck Recalls 1.2 Million Doses Of Childhood Vaccine
Dow Jones
December 13, 2007: 12:24 AM EST
(Updates with Merck timeframes on resuming vaccine production and shipments
in second paragraph and more details on the recalled vaccine in 6th graph)
By Jennifer Corbett Dooren
Of DOW JONES NEWSWIRES
WASHINGTON -(Dow Jones)- Merck & Co. (MRK) is recalling about 1.2 million
doses of a childhood vaccine used to protect against meningitis, pneumonia
and other serious illnesses after the compan |
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g*********9
发帖数: 3528 | 15 how could you know your kid's 104C is not caused by bacterial infection?
and why you think "大家放心了吧,104度都不用降的?"
you are assuming your kid does not have meningitis/sepsis, then you come to
the conclusion "104度都不用降的"
but what if you are wrong at the first place? |
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g*********9
发帖数: 3528 | 16 do some research for meningitis:
Kernig's sign (sensitivity, 5%; likelihood ratio for a positive test result
[LR(+)], 0.97), Brudzinski's sign (sensitivity, 5%; LR(+), 0.97), and nuchal
rigidity (sensitivity, 30%; LR(+), 0.94)
lz you need real science. |
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l*****r
发帖数: 7130 | 17 随便google一下就知道了啊
HFM is caused by several members of the enterovirus family of viruses. The
most common cause is Coxsackie virus A-16; less frequently enterovirus 71 is
the infectious agent. The clinical manifestations of routine HFM are the
same regardless of the responsible virus. However, patients infected with
enterovirus 71 are more likely to experience rare complications (for example
, viral meningitis or cardiac muscle involvement).
中国的HFM是后一种strain
HFMD, for the most part, has a good prog... 阅读全帖 |
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x*****a
发帖数: 7797 | 18 【 以下文字转载自 NextGeneration 讨论区 】
发信人: xuxihua (xixi), 信区: NextGeneration
标 题: 12 Kids' Symptoms You Should Never Ignore
发信站: BBS 未名空间站 (Fri Jan 6 15:29:38 2012, 美东)
The wait-and-see approach is fine for some kids' health problems. But not
these.
By Kristyn Kusek Lewis
When you become a parent, you earn a medical merit badge of sorts. Whether
you're sopping up a goopy nose or extracting a dangling-by-a-thread baby
tooth, eventually few things faze you. But sometimes it's tough to tell what
warran... 阅读全帖 |
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m******2
发帖数: 1056 | 19 no. don't do tb. it won't count.
the immigration office will ask you to do tb test anyway.
what you should do is to go to your primary care physician and ask for a
thorough annual physical exam
tell him that you wanna do antibody tests on mmr, hepatitis b, hepatitis a,
meningitis, and whatever the physician could recall in the process of
immunization of a US kid...
have the blood test result then and keep a good copy.
get a td shot as well and save the record.
and if possible, get a chest xray a... 阅读全帖 |
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G****e
发帖数: 11198 | 20 Deaths From Cantaloupe Listeria Rise
Kathryn Scott Osler,/The Denver Post
Testing by the Colorado health department helped trace the listeria outbreak
to Rocky Ford cantaloupes grown by Jensen Farms.
By WILLIAM NEUMAN
Published: September 27, 2011
At least 13 people in eight states have died after eating cantaloupe
contaminated with listeria, in the deadliest outbreak of food-borne illness
in the United States in more than a decade, public health officials said on
Tuesday.
Many of the deaths inv... 阅读全帖 |
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s*******g
发帖数: 1607 | 21 第一次听说，刚看了wiki，这个比较恐怖
Health effects
The winds carry Coccidioides immitis and Coccidioides posadasii spores into
nonendemic areas,[12][13] a pathogenic fungus that causes Coccidioidomycosis
("Valley Fever"). Symptomatic infection (40% of cases) usually presents as
an influenza-like illness with fever, cough, headaches, rash, and myalgia (
muscle pain).[13] Serious complications include severe pneumonia, lung
nodules, and disseminated disease, where the fungus spreads throughout the
body. The diss... 阅读全帖 |
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s******z
发帖数: 1475 | 22 需要脑膜炎（meningitis）的免疫证明
要申请on-campus housing啊，就跟申请入学一样，网上填1个申请宿舍的表
我觉得既然对美国不了解的话，就不要认为和国内的规矩一样了，事先把规矩都问问清
楚，这样就不会事到临头才想起不对劲了~ |
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d****n
发帖数: 10034 | 23 还是必须在美国打？有经验的同学回一下。谢谢。
帮亲戚小孩问的。 |
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H**r
发帖数: 10015 | 24 可以在中国打吧
但是你的看当地有没有提供这个服务的 |
|
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p********y
发帖数: 57 | 26 可以。打了国内会有个疫苗的小本本。 拿来找翻译成绩单的地方翻译就可以了。 国内
打便宜。ut打要100多呢。
★ 发自iPhone App: ChineseWeb 7.8 |
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D*****X
发帖数: 1163 | 27 还是在这边打比较好.
我表弟在国内打的, 有疫苗本和公正, 来了以后人家却不收, 结果最后硬着头皮又去挨
了一针了事..貌似是200块吧,记不清了,2年前的事. |
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a**********m
发帖数: 2098 | 28 好像不打不给发I-20吧？让你亲戚小孩去ISSSO问一下，这个最准确 |
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F*V
发帖数: 3978 | 29 大棋局与9/11
来源: ognc 于 2013-02-22 16:08:44[档案] [博客] [旧帖] [转至博客] [给我悄悄
话] 本文已被阅读：63次
字体：调大/调小/重置 | 加入书签| 打印| 所有跟帖 | 加跟贴| 查看当前最热讨论主题
The Moral Decoding of 9-11
By Prof. John McMurtry
(Journal of 9/11 Studies) - I was sceptical of the 9-11 event from the first
time I saw it on television. It was on every major network within minutes.
All the guilty parties were declared before any evidence was shown. The
first questions of any criminal investigation were erased. Who had the most
compelling motives for... 阅读全帖 |
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z****u
发帖数: 36 | 30 OK, my bad. I had been sick for nearly three weeks ever since I had the
long run with Eve and Hongxia last time. I got a cold and coughing to begin
with. And then I took the yellow fever and meningitis vaccines -totally
knocked me down! I finally got better last week and went for a 52-floor
climbing event on Saturday. Never expected that stair climbing's such a
stiff activity. I had short breath, fast heartbeat and non-stopped coughing
during and after the race. It is a lot worse than hav |
|
t******g
发帖数: 17520 | 31 善存就是 Pfizer 这个造春药的烂逼公司出的。。。。
Big Pharma gets rich when you get sick. Pfizer, the largest pharmaceutical
corporation in the U.S., pleaded guilty in 2009 to the largest health care
fraud in U.S. history, receiving the largest criminal penalty ever for
illegally marketing four of its drugs. It was Pfizer's fourth such case. As
if Pfizer's massive use of animal experimentation wasn't heart wrenching
enough, Pfizer decided to use Nigerian children as guinea pigs. In 1996,
Pfizer traveled to Kano, Nig... 阅读全帖 |
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w*p
发帖数: 16484 | 32 Symptoms of Ebola virus disease
The incubation period, that is, the time interval from infection with the
virus to onset of symptoms is 2 to 21 days. Humans are not infectious until
they develop symptoms. First symptoms are the sudden onset of fever fatigue,
muscle pain, headache and sore throat. This is followed by vomiting,
diarrhoea, rash, symptoms of impaired kidney and liver function, and in some
cases, both internal and external bleeding (e.g. oozing from the gums,
blood in the stools). La... 阅读全帖 |
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D*****r
发帖数: 6791 | 33 Thank you, Lord, for cancer, flu,
For athlete’s foot and typhus too.
Your wondrous world with birth defects,
And ticks and strokes is so complex.
I marvel at your pedophiles,
And mumps sure does elicit smiles.
Your greatest feat -- the tornadoes
Are right up there with lava flows.
I simply love my varicose veins,
And thank you for the hurricanes.
The miracle of gum disease
Goes hand-in-hand with cavities.
My urinary incontinence
Compliments my flatulence.
Chickenpox is a grand thing,
As is, I f-... 阅读全帖 |
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b*****e
发帖数: 288 | 35 各位思考这个问题之前，先看看人类的一些特有特征：
1. 人类脚部有其他灵长类动物没有的跟腱。
2. 人类有其他灵长类动物没有的小汗腺，密度高达80～600个/cm2。
3. 一般动物脑中的血液只能通过Meningeal Vein和Diploic Vein循环到肺。而人类头盖骨上有密集和粗壮的Emissary Foramina。大脑中的静脉血由此透过头盖骨流到头皮中散热，之后进入Vertebral Venous Plexus到肺。这样可以使脑部迅速散热。
4. 人类有长并且不断生长的头发。一方面可以遮阳，另一方面增加汗液蒸发的表面积，配合Emissary Foramina为头部降温。另外人类其他大量排汗的部位也有毛。
5. 化石和分子进化证据表明人类祖先曾经在非洲长期生活。
6. 人类皮肤的排汗效率是马的十倍以上。
7. 人类有黑色皮肤抵挡紫外线。
8. 非洲土著San族人，可以在炎热的中午以每小时20公里的速度连续奔跑4个小时以上。
为什么人类没有厚重的体毛？
答： 因为人类祖先需要在白天极其炎热条件下长途奔跑追逐猎物，脱毛是为了散热。
本人自己总结的，如果觉得答案有道理就给包子。 |
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U******u
发帖数: 5829 | 36 shyj: 我的考版match路--以此文纪念在美国逝去的10年青春
http://mitbbs.com/pc/pccon_2289_t379_150975.html
发信人: shyj (baobao), 信区: MedicalCareer
标 题: 我的考版match路-以此文纪念在美国逝去的10年青春 (很长很罗嗦，慎入！）
发信站: BBS 未名空间站 (Sat Apr 3 17:31:55 2010, 美东)
Match的结果终于尘埃落定，周1等电邮的时候非常紧张，因为成败就在此了，虽然一直
告诉自己，今年只是热热身，成败都可以接受，但到真的揭晓的时候，还是很紧张，毕
竟一旦卷入其中就身不由己，何况自己也还是有所付出。到周4等match program的时候
虽然也有点紧张，但程度已经大大减少，1个原因是毕竟match上才是头等大事，去哪里
尚在其次，还有1个原因是心理还是有所准备了，虽然希望留在home school，但直觉告
诉我恐怕是非常困难了，在我rank list上第二位的program应该就是我要去的地方，果
不其然。经过几天的等待，发现果然是要搬家了。
对于我... 阅读全帖 |
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d****d
发帖数: 214 | 37 A conversation with Robert Lefkowitz, Joseph Goldstein, and Michael Brown
Ushma S. Neill and Howard A. Rockman
Published May 1, 2012
Today we shift the format of our Conversations with Giants in Medicine and
allow three of our most charismatic giants (Robert Lefkowitz, Joseph
Goldstein, and Michael Brown) to interview each other (Figure 1). Lefkowitz
(Duke University) is known for his seminal discoveries in understanding G
protein–coupled receptor function. The legendary partnership between Brow... 阅读全帖 |
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h*******o
发帖数: 4884 | 38 Adult neuronal culture is indeed very tricky. And most of what you get is
debris.
But to dissect out cerebral cortex is easy. By 软脑膜, do you mean meninges?
You can actually start from inside. Use a sharp pair of tweezers to snip out
the meniges on the outside, then flip open the hemisphere, there you will
be able to identify hippocampus and cerebral cortex. You can use tweezers to
snip out cortical pieces.
There will be a lot of debris (actually the majority of the fresh tissue
culture will be d... 阅读全帖 |
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i*****e
发帖数: 633 | 39 谢谢！请问你的意思是用镊子把皮质＂刮＂（snip）出来吗？我画了个草图。我不太明
白snip out的意思。
meninges?
out
to |
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r***l
发帖数: 593 | 40 Microbiol Immunol. 2003;47(10):701-7.
A silkworm larvae plasma test for detecting peptidoglycan in cerebrospinal
fluid is useful for the diagnosis of bacterial meningitis.
Inada K, Takahashi K, Ichinohe S, Suda H, Tsuchiya M, Takahashi J, Matsuura
S, Kasai T, Yoshida M, Endo S, Sato S.
非常感谢！ |
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w****o
发帖数: 32 | 41 神经科 - Neurology: seeing patient with stroke, epilepsy/seizure, headache,
movement disorder, dementia, neuropathy，neuromuscular disease, brain tumor,
multiple sclerosis, encephalitis/meningitis, etc
精神科 - Psychiatry: ADHD, bipolar,depression, anxiety, OCD，schizophrenia,
psychosis etc., they also seeing patient with behavioral disturbance
They both can do research in neuroscience/neurobiology |
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b*******g
发帖数: 1309 | 42 Carbohydrate-based vaccines are widely used to prevent infectious diseases,
but their use to fight cancer has so far proved problematic. To increase the
chance of success, researchers are pursuing a number of avenues that have a
common goal: enhance carbohydrates’ ability to induce the human immune
system to mount an effective fight against cancer.
Carbohydrates are studded all over the surfaces of human cells, where they
help with essential functions ranging from protein transport and cell-cell... 阅读全帖 |
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p******9
发帖数: 114 | 44 1. A 5-year-old boy is brought to the physician 1 hour after urinating
bright red blood. He has been taking ibuprofen since injuring his right
flank while wrestling with friends yesterday; he also has been taking
penicillin for 3 days for streptococcal pharyngitis. His temperature is 36.7
C (98 F), blood pressure is 90/48mm Hg, pulse is 108/min, and respirations
are 18/min. Examination shows purple ecchymoses over the shins and right
flank; there is tenderness of the right costovertebral area. T... 阅读全帖 |
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c******k
发帖数: 237 | 45 From hx and available w/u, delirium tremens, intoxications, infx dz like
encephalitis, meningitis are less likely. Pt saw neurologist and might start
a neuroleptic medication. Therefore, NMS - dopamine agonist?
Thank u!
he had been seeing his neurologist for chronic pancreatitis, believe or not. |
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f*****w
发帖数: 1451 | 46 发热,头痛或者mental status change的病人来急诊,考虑脑膜炎或者大脑炎,需要查血
和抽blood culture,然后上empiric antiboitics,然后看head CT, LP, CSF analysis.
有一道题是HSV encephalitis的病人,来了也是发热(虽然不是高烧),mental change,鉴
别诊断是bacterial/ viras meningitis/encephalitis.常规抽血,血液培养,可是那道
题上直接继续脑穿刺了,没有上抗生素.
我的疑问是,在没有确定是病毒还是细菌的情况下,是否应该常规上抗生素,再去脑穿,脑
穿发现pinkish CSF,gram stain negative高度倾向病毒以后再停止抗生素,上抗病毒药
呢?
同学们给讲讲?谢谢! |
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f*****w
发帖数: 1451 | 47 Thanks. That's why I don't understand. According to UW CCS case, CT was
ordered for bacterial meningitis but not the HSV encephalitis even though
the initial presentations for both cases were similar. |
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w******n
发帖数: 88 | 48 In the encephalitis case,head ct before LP is a neutral option.It is not
wrong.I prefer to ordering head ct before LP because meningitis is a
differential diagnosis.
though |
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a*****o
发帖数: 174 | 49 请前辈说说如果CT结果真的有high ICP的可能，在meningitis/encephalitis的病人接
下去咋处理呢？delay LP？ |
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A*******s
发帖数: 9638 | 50 I will never do a LP without a scan(CT or MRI) in practice.
It does not matter if ICP high or not. As long as the 4th ventricule is open
, you can go ahead for LP. In fact, we always see high opening pressures in
meningitis patients. For pseudotumor cerebri, the opening pressure is also
high. We tap them all the time.
However, if there is a space occupying lesion like tumor on the scan, do not
tap them without checking with NSG. |
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