Rejected at 10:11 p.m. Oct, 31, 2023 ] by dollajas
Bulk Suggestion Bulk ID: dopamine/12.03.22-11:38AM
Author: dopamine
Related Note: 1556473561662 1
Rationale for change

Sketchy Peds

Sketchy 2 Sketchy 2
Text
What are the next steps in a child with suspected bacterial meningitis and NO alarm symptoms?

{{c1::Blood cultures}} → {{c1::lumbar puncture}} → {{c1::IV antibiotics}}
Extra
- Antibiotics sterilize the CSF, so we get CSF fluid first unless the child demonstrates alarm symptoms

- If alarm symptoms (e.g., hypotension, status epilepticus, focal neurologic deficits) are present, get blood cultures STAT and initiate antibiotics immediately afterward, then obtain neuroimaging and obtain LP if not contraindicated

- Vancomycin for resistant Strep pneumo, third-gen cephalosporin for most strep. pneumo or neisseria strains
Lecture Notes
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Missed Questions
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Pathoma
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Boards and Beyond
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First Aid
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Sketchy
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Sketchy Extra
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Picmonic
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Pixorize
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Physeo
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Bootcamp
Watch associated Bootcamp video - Infectious Neuropathology: Management of Meningoencephalitis
OME

Additional Resources
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#AK_Step2_v12::#Resources_by_rotation::Peds::uworld::pediatric_infectious_disease::peds_infectious_disease_dorian #PANCE::EOR::PEDS #AK_Original_Decks::Step_2::Cheesy_Dorian_(M3) !AK_UpdateTags::Step2decks::Cheesy-Dorian-(M3)::Pediatrics::2-Emma-Holiday-Review #AK_Step2_v12::#Resources_by_rotation::Peds::emma #AK_Step2_v12::#OME::03_Pediatrics::13_Peds_ID_Review #AK_Step2_v12::#FirstAid::09_Neuro::09_CNS_Infections::01_Meningitis #AK_Step2_v12::!Shelf::Peds::no_dupes #AK_Step2_v12::!Shelf::#Cards_AnKing_Did::3peds #AK_Step2_v12::#Resources_by_rotation::Peds::uworld::pediatric_infectious_disease::pediatric_infectious_disease_zanki #AK_Step2_v12::#B&B::08_Infectious_Disease::04_Other::03_Meningitis::Extra #AK_Step2_v12::#UWorld::Step::18590 #AK_Step2_v12::#UWorld::COMLEX::100433 #AK_Step2_v12::Original_decks::Zanki_Step_2::Peds::ID #AK_Step2_v12::#UWorld::COMLEX::103970 #AK_Step2_v12::Original_decks::Dorian::im::ome::infection::brain_inflamm #AK_Step2_v12::Original_decks::Dorian::peds::uw::peds_id #AK_Step2_v12::#UWorld::Step::3633 #AK_Step2_v12::Original_decks::Dorian::peds::emma #AK_Step2_v12::!Shelf::Peds::no_dupes::only_step2 #AK_Step2_v12::#OME::Clinical::03_Pediatrics::13_Peds_ID_Review #AK_Step2_v12::#SketchyPeds::09_Infectious_Diseases::02_Neurologic_&_Eye_Infections::02_Meningitis_in_Children_>1_mo #AK_Step2_v12::#Resources_by_rotation::IM::ome::infection::brain_inflamm #AK_Step2_v12::#Subjects::Neurology::15_Infection::Meningitis::Management