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Assessment and Investigation of Meningitis and Encephalitis in Children

#Diagnosis #Peds #Pediatrics #Meningitis #Encephalitis #Assessment #Workup
Investigation of Meningitis ... and Encephalitis ... Peds #Pediatrics #Meningitis ... #Encephalitis #
Checklist for the Obtunded/Comatose Patient with Suspected Meningitis/Encephalitis 

- Dr. Josh Farkas @PulmCrit

#Comatose #Meningitis #Encephalitis #Checklist
with Suspected Meningitis ... /Encephalitis ... #Comatose #Meningitis ... #Encephalitis #
Typical features of meningitis vs. Encephalitis 

Meningitis is inflammation of the subarachnoid space, the fluid bathing
Typical features of meningitis ... Encephalitis ... Meningitis is inflammation ... Encephalitis is ... #meningitis #Encephalitis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Infections - Viral Encephalitis ... Framework Viral Encephalitis ... , Saint Louise encephalitis ... eastern equine encephalitis ... #encephalitis
Reversible Neurocognitive Disorders (Reversible Causes of "Dementia")
 • Structural/Mass: Subdural Hematoma, NPH, Intracranial tumor
 • Infection:
• Infection: Meningitis ... , Encephalitis, ... hyperthyroidism, Hashimoto's encephalitis
Altered Mental Status - Differential Diagnosis
 • Neurologic: Stroke, Cerebral hypoxia, Cerebral hemorrhage, Seizure, Trauma, TBI,
Tumor, Vasculitis/Encephalitis ... Pneumonia, Sepsis, Meningitis ... , Encephalitis,
Ramsay Hunt Syndrome - Herpes Zoster Oticus 
Triad:
1. Ipsilateral facial paralysis 
2. Ear pain 
3. Vesicles
Complications • Aseptic meningitis ... • Myelitis • Encephalitis
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Concussion • Meningitis ... • Encephalitis ... Concussion • Encephalitis
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
of autoimmune encephalitis ... encephalomyelitis, Anti-GFAP ... #autoimmune #encephalitis
Encephalitis Differential Diagnosis by Location

 • White Matter: PML, ADEM
 • Limbic System: HSV1, HSV6, Treponema
Encephalitis Differential ... Eastern Equine Encephalitis ... Virus, Japanese Encephalitis ... Virus, St Louis Encephalitis ... #Encephalitis