Reference no: EM133860314
Assignment:
The definitions of illness and disease are equally difficult problems. Despite the fact that these terms are often used interchangeably, illness is not to be equated with disease. A person may have a disease for many years without even being aware of its presence. Although diseased, this person is not ill. Similarly, a person with diabetes who has received adequate insulin treatment is not ill.
1. Is cavernous sinus thrombosis a complication of meningitis?
2. What is the mechanism of paraparesis that comes as a late (i.e. postresolution) complication to meningitis?
3. Is lumbar puncture contraindicated in meningococcal meningitis?
4. What should the cerebrospinal fluid (CSF) picture be when the treatment of acute bacterial meningitis is complete, and after how many days of treatment?
5. In the management of meningococcaemia, can chloramphenicol be used as an alternative? Are there any advantages practically? The book quotes benzylpenicillin or cefotaxime (alternative). Are they a standard regimen?
6. 'The immediate management of suspected meningococcal meningitis infection is benzylpenicillin 1200 mg either by slow IV injection or intramuscularly, prior to investigations.' Is this always true? Should you not perform a lumbar puncture for culture first?
7. Should children with bacterial meningitis be treated with steroids to prevent complications?
8. What is the role of anticonvulsants in a case of encephalitis and how long should one continue them?
9. How effective are steroids in the treatment of radiculomyelitis?
10. Should you treat a patient who has a brain cysticercosis lesion? The text seems to say 'Yes' but there is great uncertainty about it. Also, should one 'worm' the patient's gut when you find brain lesions; if so, with what?