Page 347 - 2021 IDMT Digital
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CENTRAL NERVOUS SYSTEM INFECTION
Introduction:
• &HQWUDO QHUYRXV V\VWHP LQIHFWLRQ LV D PHGLFDO HPHUJHQF\ ZKLFK FDQ EH FDXVHG E\
DOPRVW DQ\ LQIHFWLRXV DJHQW LQFOXGLQJ EDFWHULD P\FREDFWHULD IXQJL VSLURFKHWHV
SURWR]RD KHOPLQWKV DQG YLUXVHV
o ([DPSOH FOLQLFDO V\QGURPH PHQLQJLWLV
• 7KH ILUVW VWHS WRZDUG HWLRORJLF GLDJQRVLV LV FHUHEURVSLQDO IOXLG H[DPLQDWLRQ
• +LVWRU\ DQG H[DP FDQ KHOS PDNH D FOLQLFDO GLDJQRVLV
Subjective:
• 6LJQV DQG 6\PSWRPV
o +HDGDFKH
o )HYHU
o 6HQVRUy GLVWXUEDQFHV
o 1HFN DQG EDFN VWLIIQHVV
o 1HDUO\ DOO SDWLHQWV KDYH DW OHDVW WZR RI WKH IROORZLQJ
)HYHU KHDGDFKH VWLII QHFN RU DOWHUHG PHQWDO VWDWXV
Objective:
• 3K\VLFDO ([DP
o 3RVLWLYH .HUQLJ DQG %UXG]LQVNL VLJQV
o 'HSHQGLQJ RQ WKH HWLRORJ\ RI LQIHFWLRQ WKHUH PD\ EH RWKHU ILQGLQJV
Assessment:
• 'LIIHUHQWLDO
o %UDLQ DEVFHVV YRPLWLQJ IHYHU DOWHUHG PHQWDO VWDWXV
o "1HLJKERUKRRG" LQIHFWLRQ SXUXOHQW LQIHFWLRQ LQ DQ DUHD FORVH WR WKH &16 WKDW
VSLOOV VRPH RI WKH LQIODPPDWRU\ SURGXFWV LQWR WKH FHUHEURVSLQDO IOXLG e.g.,
bDFWHULDO VLQXVLWLV PDVWRLGLWLV RVWHRP\HOLWLV RI D YHUWHEUDH
Plan:
• 3DWLHQWV ZLWK VXVSHFWHG PHQLQJLWLV HQFHSKDOLWLV DQG EUDLQ RU SDUDVSLQRXV DEVFHVV
VKRXOG EH DGPLWWHG RU HYDFXDWHG IRU XUJHQW HYDOXDWLRQ DQG WUHDWPHQW
• $QWLELRWLFV ,9 VKRXOG EH VWDUWHG LPPHGLDWHO\ XSRQ FRQVXOWDWLRQ ZLWK WKH PHGLFDO
SUHFHSWRU
Patient Education:
• (QFRXUDJH SDWLHQW WR IROORZ DOO PHGLFDO UHFRPPHQGDWLRQV
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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