Difficult meningitis scenarios were reviewed. The best resource to read is Harrisons textbook of internal medicine.
Acute meningitis presentations - bacterial, viral and encephalitis vs subacute presentations of bacterial brain abscess Viral meningitis does not cause somnolence / drowsiness Bacterial meningitis progresses to confusion Encephalitis often presents with bizarre behaviour Meningism, kernigs and neck stiffness are late signs and only present in <20% of adults and fewer children. mortality once meningism is present is 20-30% -- so don't use this to rule out meningitis!!! Best resource for difficult types of meningitis eg TB, cryptococcal, syphillis is Nelsons textbook of paediarics or UTD. see tables attached below
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EM Trainee (Victoria)
8/31/2019 07:48:53 am
Thank you for the invite to attend your teaching session. Probably the best break down I have had on this topic in the time I've been a trainee. You are delivering an amazing level of education which most places are failing in delivering to their trainees. I would definitely like to be part of your intense program for my May 2020 prep. I cannot see myself making it thru that mammoth exam without your guidance. Thank you for doing what ACEM can't seem to do!
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