CSF Studies: Difference between revisions

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

Latest revision as of 14:23, 18 November 2014

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