bronco
Forum Junior
Topics: 16
Posts: 48
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A PREVIOUSLY HEALTHY 45 Y WOMAN HAS HAD FEVER AND PROGGRESSIVE CONFUSION OVER THE PAST 2 DAYS . SHE IS NOW UNABLE TO PERFORM ACTIVITIES OF DAILY LIVING,HER TEMP= IS 38C (100,4F) SHE IS ORIENTED ONLY IN PERSON. THERE IS NO RASH, NECK IS SUPPLE. CT SCAN SHOWS NO ABNORMALITIES.
CSF= LEUKOCYTES 20/mm3 GLU=45 Pr= 110 erythrocyte=1000mm3
WHICH IS DE MOST LIKELY DX????
A)BACTERIAL MENINGITIS
B)ACUTE OH INTOXICATION
C)BRAIN STEM INFARCTION
D)CEREBRAL INFARCTION
E)CRYPTOCOCAL MENINGITIS
F)ENTEROVIRUS INFECCION
G)HEPATIC ENCEPAHLOPATHY
H)HERPES SIMPLEX ENCEPHALITIS
I)HUNGTINGTON
J)LYME DISEASE
K)HYPOGLICEMIA
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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F..?
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| mdwannabe
Forum Guru
Topics: 37
Posts: 1,133
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H. Herpes... i think.
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| dimps
Forum Guru
Topics: 63
Posts: 446
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ya i too think herpes ...H
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hi how r u
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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I agree that its viral ..but im confused..may be u people r right HSV
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| son64
Forum Elite
Topics: 34
Posts: 245
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CT would show temporal lobe abnormalities in HSV encephalitis. Why not cryptococal?
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| Anil Kumar980
Forum Senior
Topics: 15
Posts: 130
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Hi,I think the answer is HSV as it is the MCC os encephalitis by far.Crypto would cause meningitis with neck stiffness esp in a IC pt.So I think its unlikely in this pt.
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| bronco
Forum Junior
Topics: 16
Posts: 48
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HI , NONE OF THESE OPTIONS GIVE AND INCREASE RBC COUNT IN CSF, SO I GUESS IT CAN BE A TRAUMATIC LUMBAR PUNCTURE. THE CSF SEEMS TO ME ALSO LIKE A VIRAL ENCEPHALITIS. I GUESS H. SIMPLE :?
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| Anil Kumar980
Forum Senior
Topics: 15
Posts: 130
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Herpes does cause Haemorrhagic enceph .I forgot but thanks bronco for the reminder.So i think h is the best answer
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| lucky
Forum Guru
Topics: 23
Posts: 505
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broncho will u plz type in small letters !
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