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طبعا من أشهر الأسباب اللي بنطلب فيها ال
CSF analysis
هي إننا
Suspect meningitis as severe headache, vomiting, neck stiffness, high temperature, rash, fitness,...
Babies may also:
refuse feeds, irritable, have a high-pitched cry, have a stiff body or be floppy or unresponsive, or have a bulging soft spot on the top of their head.
فلو فعلا شكيت في meningitis وعاوز تعرف هل السبب
Bacteria, virus, T.B, fungal, autoimmune, or neoplastic
المقارنة دي مهمة
bacterial meningitis :
1_ very low glucose
2_ very high protein
3_ high WBCs with predominantly neutrophils
Viral meningitis :
1_ mild decrease or normal glucose
2_ mild increased protein
3_ mild increased WBCs predominantly lymphocyte
TB meningitis :
1_ mild decrease glucose
2_ mild increased protein
3_ mild increased WBCs predominantly lymphocyte
TO differentiate between viral and TB meningitis make :
1_ CSF chloride may ⬇in TB!?
2_ CSF adenosine deaminase LEVELS
Fungi meningitis :
1_ Normal or low glucose
2_ mild increased protein
3_ mild increased WBCs predominantly Monocyte
Autoimmune meningitis :
1_ Normal glucose
2_ increased protein polyclonal Ab or IgG
3_ mild increased WBCs predominantly lymphocyte
Neoplastic meningitis :
1_ mild decrease or normal glucose
2_ mild increased protein
3_ mild increased WBCs predominantly lymphocyte
#دمحمد_بهجت_سفيان
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