Meningitis

Encephalitis ,[object Object],[object Object]

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],Etiology-meningitis

Causes in Thailand ,[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology-encephalitis ,[object Object],[object Object],[object Object]

Viruses and Severity of Disease

Pathophysiology ,[object Object],[object Object],[object Object],[object Object]

Bacterial Meningitis ,[object Object],[object Object],[object Object],[object Object]

Viral Meningitis and Encephalitis

Viral Meningitis and Encephalitis ,[object Object],[object Object],[object Object],[object Object]

Equine Death from Viral Encephalitis

Regions Reporting Japanese Encephalitis

Encephalitis morbidity and mortality, Thailand 1976-2005

อัตราป่วยของโรค Encephalitis unspecified ( ต่อ แสนประชากร ) จำแนกตามกลุ่มอายุ ปี พ . ศ . 2545 - 2549

อัตราป่วยของโรค Japanese Encephalitis B ( ต่อ แสนประชากร ) จำแนกตามกลุ่มอายุ ปี พ . ศ . 2545 - 2549

Japanese B Encephalitis morbidity and mortality, Thailand 1976-2005

History of Japanese Encephalitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Japanese Encephalitis ,[object Object],[object Object],[object Object],[object Object]

Encephalitis and Japanese Encephalitis situation by Province 2006

คำแนะนำในการวินิจฉัยผู้ป่วยสมองอักเสบ ,[object Object],[object Object],[object Object],[object Object],[object Object]

คำแนะนำในการวินิจฉัยผู้ป่วยสมองอักเสบ ,[object Object],[object Object]

คำแนะนำในการวินิจฉัยผู้ป่วยสมองอักเสบ ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Features ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Clinical Features ,[object Object],[object Object],[object Object]

Complication of Bacterial meningitis

Bacterial Meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Viral meningitis ,[object Object],[object Object]

Viral Encephalitis ,[object Object],[object Object],[object Object],[object Object],[object Object]

TB meningitis ,[object Object],[object Object],[object Object]

Fungal meningitis ,[object Object]

Lumbar Puncture ,[object Object],[object Object],[object Object],Diagnostic Strategies

Indication for CT scan before LP in suspected Bacterial meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lumbar Puncture ,[object Object],[object Object],[object Object],[object Object],[object Object]

Opening pressure - 50-200 mmH 2 O - Lateral recumbent position and sitting position may increase several fold. - Elevated in bacterial, TB, fungal. - Falsely elevated in tense, obese, marked muscle contraction .

Collection of Fluid ,[object Object],[object Object],[object Object]

Turbidity ,[object Object],[object Object]

Cell count and diff. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Cell count and diff. ,[object Object],[object Object],[object Object]

Traumatic LP ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Gram’s stain ,[object Object],Pathogen Typical characteristics Staphylococcus G + cocci: single,double,tetrad,cluster Streptococcus pneumoniae G + cocci; paired diplococci Listeria monocytogenes G + rods: single or chain Neisseria meningitidis G – cocci: paired diplococci;kidney or coffee bean Haemophilus influenzae G – coccobacilli;pleomorphic Enterobacteriaceae G – rods Pseudomonas aeruginosa G – rods

Xanthrochromia ,[object Object],[object Object],[object Object],[object Object]

Glucose ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Glucose ,[object Object],[object Object],[object Object],[object Object]

Protein ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

India Ink Preparation ,[object Object],[object Object]

Lactic Acid ,[object Object],[object Object],[object Object]

Antigen Detection ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Antigen Detection ,[object Object],[object Object],[object Object],[object Object],[object Object]

Antigen Detection ,[object Object],[object Object]

Neuroimaging Technique ,[object Object],[object Object],[object Object]

TB or Crypto meningeal involvement

Sporadic Herpes Simplex Encephalitis Fulminant hemorrhagic and necrotizing meningoencephalitis

Additional Investigation ,[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Consideration ,[object Object],[object Object],[object Object],[object Object]

Differential Consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Management Differential Consideration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Prehospital care ,[object Object],[object Object]

Assessment and stabilization ,[object Object],[object Object],[object Object]

Definitive Therapy Assessment and stabilization ,[object Object],[object Object],[object Object]

Empirical ATB for Bacterial meningitis

ATB for bacterial meningitis from Gram’s stain or Culture

ระยะเวลาในการให้ยาปฏิชีวนะใน Bacterial meningitis

Bacterial meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Viral meningitis ,[object Object],[object Object],[object Object]

Viral encephalitis ,[object Object],[object Object],[object Object]

TB meningitis ,[object Object]

Fungal meningitis ,[object Object],[object Object],[object Object],[object Object],[object Object]

Chemoprophylaxis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chemoprophylaxis ,[object Object],[object Object],[object Object]

Immunoprophylaxis ,[object Object],[object Object]

Important ! ,[object Object],[object Object]

Meningitis

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Meningitis