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Episode 68 -- Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan

56:48
 
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Manage episode 331613175 series 1358194
EB Medicine에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 EB Medicine 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.

Episode 68 -- Emergency Department Management of Adults With Infectious Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan

EMplify -- April 2022

Interview with the Author: Andrew N. Hogan, MD

1.Meningitis vs encephalitis

  • Why this topic?
  • What do the words mean? What's the difference?

2.Bacterial meningitis

  • How common is it in the US? Is it more common in third world countries?
  • Mortality rate in the US
  • Causes – if Neisseria and H influenzae improved post vaccination, why not S pneumoniae disease ? (Table 1)

3.Viral meningitis

  • How common is it in the US?
  • What are the common causes? (Table 2)

4.Viral encephalitis

  • Same prognosis as viral meningitis?
  • Same organisms as viral meningitis? (Table 2)
  • Does COVID-19 cause this illness?

5.Fungal infections

  • Who gets these?
  • 60% die? 1 million cases a year, 600K deaths?

6.Prehospital care:

  • What does EMS need to know?
  • How do they protect themselves from being exposed?
  • How can they help us make the diagnosis?
  • EMS is giving antibiotics in some areas?
  • PEP

7.ED evaluation: History

8.ED evaluation: Physical exam

9.Diagnostics: CSF

  • What's large volume? Is it safe?
  • Cell counts on tubes 1+4, all the time or only if traumatic and obviously bloody?
  • Is opening pressure helpful?
  • CSF lactate level – can this be run in a normal lactic acid analyzer?
  • PCR/NAAT testing

10.Serum labs

  • What is helpful?
  • Serum PCR
  • Serum cryptococcal antigen

11.Imaging

  • Is CT imaging before LP still necessary? Can we be selective?
  • Is MRI helpful in the ED, or is there a role in encephalitis?

12.Treatment

  • Antibiotics
  • Steroids: Who gets them? When? Are there downsides of giving them?

13.Special populations

  • Autoimmune disease
  • Lacking childhood vaccines
  • Healthcare associated infections

14.Cutting edge

15.Disposition

  continue reading

136 에피소드

Artwork
icon공유
 
Manage episode 331613175 series 1358194
EB Medicine에서 제공하는 콘텐츠입니다. 에피소드, 그래픽, 팟캐스트 설명을 포함한 모든 팟캐스트 콘텐츠는 EB Medicine 또는 해당 팟캐스트 플랫폼 파트너가 직접 업로드하고 제공합니다. 누군가가 귀하의 허락 없이 귀하의 저작물을 사용하고 있다고 생각되는 경우 여기에 설명된 절차를 따르실 수 있습니다 https://ko.player.fm/legal.

Episode 68 -- Emergency Department Management of Adults With Infectious Meningitis and Encephalitis – An Interview with Dr. Andrew Hogan

EMplify -- April 2022

Interview with the Author: Andrew N. Hogan, MD

1.Meningitis vs encephalitis

  • Why this topic?
  • What do the words mean? What's the difference?

2.Bacterial meningitis

  • How common is it in the US? Is it more common in third world countries?
  • Mortality rate in the US
  • Causes – if Neisseria and H influenzae improved post vaccination, why not S pneumoniae disease ? (Table 1)

3.Viral meningitis

  • How common is it in the US?
  • What are the common causes? (Table 2)

4.Viral encephalitis

  • Same prognosis as viral meningitis?
  • Same organisms as viral meningitis? (Table 2)
  • Does COVID-19 cause this illness?

5.Fungal infections

  • Who gets these?
  • 60% die? 1 million cases a year, 600K deaths?

6.Prehospital care:

  • What does EMS need to know?
  • How do they protect themselves from being exposed?
  • How can they help us make the diagnosis?
  • EMS is giving antibiotics in some areas?
  • PEP

7.ED evaluation: History

8.ED evaluation: Physical exam

9.Diagnostics: CSF

  • What's large volume? Is it safe?
  • Cell counts on tubes 1+4, all the time or only if traumatic and obviously bloody?
  • Is opening pressure helpful?
  • CSF lactate level – can this be run in a normal lactic acid analyzer?
  • PCR/NAAT testing

10.Serum labs

  • What is helpful?
  • Serum PCR
  • Serum cryptococcal antigen

11.Imaging

  • Is CT imaging before LP still necessary? Can we be selective?
  • Is MRI helpful in the ED, or is there a role in encephalitis?

12.Treatment

  • Antibiotics
  • Steroids: Who gets them? When? Are there downsides of giving them?

13.Special populations

  • Autoimmune disease
  • Lacking childhood vaccines
  • Healthcare associated infections

14.Cutting edge

15.Disposition

  continue reading

136 에피소드

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