ling
Forum Senior
Topics: 23
Posts: 46
|
. A 25-year-old man with a history of intravenous drug use comes to the emergency department because of a progressive diffuse headache, generalized malaise, and low-grade fever for 2 months. During this period, he has had a poor appetite resulting in a 6.8-kg (15-lb) weight loss. His temperature is 38 C (100.4 F). Examination shows neck stiffness. Mental status examination shows no abnormalities. Cranial nerve examination shows weakness of the lateral rectus muscle on the right and bilateral papilledema. A CT scan of the head with and without contrast shows moderate ventricular enlargement. Examination of cerebrospinal fluid shows:
Opening pressure 220 mm H2O
Glucose 35 mg/dL
Protein 150 mg/dL
WBC 100/mm3
Lymphocytes 100%
RBC 1/mm
A
) Bacterial meningitis
B
) Cerebral infarction
C
) Cryptococcal meningitis
D
) Glioblastoma multiforme
E
) Herpes simplex encephalitis
F
) Hypertensive encephalopathy
G
) Idiopathic intracranial hypertension
H
) Intracerebral hemorrhage
I
) St. Louis encephalitis
|
| Aashi
Forum Moderator
Topics: 113
Posts: 1,061
|
C) Cryptococcal meningitis
___________________
"Obstacles are those frightful things you see when you take your EYES off your goal."
|
| nadiabarati
|
C
drug abuser...cryptococcal meningitis that has these characteristis in CSF: high opening pressure, high protein, low glucose and variable pleocytosis
|
| fongch
Forum Elite
Topics: 71
Posts: 316
|
What about E?
|
| vradojc1
Forum Elite
Topics: 21
Posts: 309
|
HSE encephalitis has acute clinical presentation.
|
| Justice
Just signed contract
Topics: 118
Posts: 2,360
|
(C)
___________________
The winner takes it all...
|
| zaidsuror
Forum Elite
Topics: 61
Posts: 238
|
c the give away is the IV DRUG USE and the csf analysis is highly suggestive
___________________
footsteps on the sands of time are not made by sitting around.
|
|
| |
| | | | | | | |
