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| CSF
| | #REDIRECT[[Lumbar puncture]] |
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| tube 1 gs and culture
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| 2 protein glc
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| 3 cell count w diff
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| 4 hold
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| cryptoccal ag
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| india ink
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| afb pcr
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| rpr vdrl
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| fungal cx
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| viral cx
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| pcr for herpes viridae
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| ldh >40 suggests bact. Meningitis < 40 viral (neches -pediatrics 1968)
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| for each 1000 rbc dec prot. By 1mg/dl
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| actual WBC =counted WBC-RBC csfx (Wbc blood/Rbc blood).
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| When to ct before lp
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| AMS
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| focal deficit or papilledema
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| head trauma (recent or remote)
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| new onset seizure (except poss febrile seizure in child)
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| HIV+
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| IVDA only if other above findings are present.
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| age over 60
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| When to treat infants under 4-6 weeks empirically for herpes encephalitis:
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| csf pleocytosis consistent w/ encephalitis + 1 of the following:
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| 1)HSV skin eye or mouth manifest.
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| 2)focal neuro findings or seizure
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| 3)sepsis with pneumonitis or hepatitis
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| 4)mother w/ genital HSV at delivery
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| 5)consider for very toxic fever >39 EC.
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| 7/2/09 PANI
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| [[Category:Neuro]] | |