Meningitis in Adults and Children - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 06-24-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 59
Threads: 16
Thanked 17 Times in 10 Posts
Reputation: 27
Neuro Meningitis in Adults and Children

I'm thoroughly confused by all the versions I've been reading regarding the follow-up of Meningitis in Adults and Children. Could anyone correct me?

In Adults:
1st --> Antibiotics
then--> CT without contrast
then--> LP

In Child:
1st--> LP (no CT required in a child)
then-> Antibiotics

Is this correct? Or should CT be 1st in Adults?
*so confused by this concept!*
Reply With Quote Quick reply to this message



  #2  
Old 06-24-2013
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 18
Threads: 1
Thanked 23 Times in 8 Posts
Reputation: 33
Default

i think you have it right
Reply With Quote Quick reply to this message
  #3  
Old 06-24-2013
USMLE Forums Master
 
Steps History: ---
Posts: 530
Threads: 35
Thanked 291 Times in 207 Posts
Reputation: 301
Default

In meningitis you do CT only when there are signs of - Focal neuro deficit , papilledema , increased intracranial pressure.
__________________
Life is a sexually transmitted disease.
Reply With Quote Quick reply to this message
The above post was thanked by:
megz2107 (06-24-2013)
  #4  
Old 06-24-2013
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 59
Threads: 16
Thanked 17 Times in 10 Posts
Reputation: 27
Default

So you guys are saying that we administer Antibiotics in Adults 1st before doing a CT/LP?
So it'll be Antibiotics---> CT (if signs+)---> LP?

Please correct me if I misunderstood.
Reply With Quote Quick reply to this message
  #5  
Old 06-24-2013
USMLE Forums Veteran
 
Steps History: 1+CK+CS+3
Posts: 281
Threads: 11
Thanked 196 Times in 132 Posts
Reputation: 206
Default

i think at least for adults. you only give antibiotics first if there is signs of increased intracranial pressure which would mean you cant immediately do the lumbar puncture. If there is a delay in lumbar puncture, then you give antibiotics first.

Not sure if im correct but thats what i think it is. i will have to check the text book
__________________
Premed[x] Basic Sciences [x] Step 1 [x] Step 2 CK [x] Step 2 CS [x] Step 3 [x]
Reply With Quote Quick reply to this message
The above post was thanked by:
megz2107 (06-24-2013)
  #6  
Old 06-24-2013
MedicalExaminer's Avatar
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 824
Threads: 66
Thanked 463 Times in 298 Posts
Reputation: 473
Default

Yeah u do LP first followed by antibiotics (if u give antibiotics prior to LP u decrease sensitivity of LP) unless theres some contraindication to LP such as papilledema or there is seizure, confusion or focal neurologic deficit-in this case antibiotics first followed by CT and then LP if necessary
__________________
Everything is possible for him who believes (MARK 9:23)
245/247/passed on 1st attempt/223/2mos Obsie /3 US LORS/visa not needed/2008 grad
Reply With Quote Quick reply to this message
The above post was thanked by:
megz2107 (06-24-2013), radkur (06-25-2013)



Reply

Tags
Infectious-Diseases, Internal-Medicine-, Pediatrics-

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Osteomyelitis Site; Children versus Adults? tyagee USMLE Step 1 Forum 2 06-05-2015 08:57 AM
Most common cause of VF in young adults Teona USMLE Step 1 Forum 13 10-09-2012 10:59 AM
Most common cause of nephrotic syndrome in adults? tyagee USMLE Step 2 CK Forum 5 08-13-2012 12:12 AM
The most common cause of meningitis in adults? mycoplasma USMLE Step 1 Forum 1 05-12-2012 09:17 AM
Botulism in adults versus in children, Mnemonic mle guy USMLE Step 2 CK Mnemonics 1 06-03-2011 04:57 AM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)