CSF Studies: Difference between revisions

Revision as of 06:18, 28 March 2011

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 suggests bact. Meningitis < 40 viral (neches -pediatrics 1968)

Correction

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.

Source

7/2/09 PANI

Authors:

@@ Line 1: / Line 1: @@
-CSF
+==CSF==
+#tube 1 gs and culture
+#2 protein glc
+#3  cell count w diff
+#4 hold
-tube 1 gs and culture
+#cryptoccal ag
+#india ink
-protein glc
+#afb pcr
+#rpr vdrl
-  cell count w diff
+#fungal cx
+#viral cx
-hold
+#pcr for herpes viridae
+#ldh  >40 suggests bact. Meningitis < 40 viral (neches -pediatrics 1968)
-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)
+==Correction==
 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:
-When to ct before lp
+##HSV skin eye or mouth manifest.
+##focal neuro findings or seizure
-AMS
+##sepsis with pneumonitis or hepatitis
+##mother w/ genital HSV at delivery
-focal deficit or papilledema
+##consider for very toxic fever >39 EC.
-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:
-)HSV skin eye or mouth manifest.
-)focal neuro findings or seizure
-)sepsis with pneumonitis or hepatitis
-)mother w/ genital HSV at delivery
-)consider for very toxic fever >39 EC.
+==Source==
 /2/09 PANI
+[[Category:ID]]
 [[Category:Neuro]]
+[[Category:Procedures]]