Question of the Week

Question :
Posted On : 17 Dec 2023
In an unconscious child who has had a fever with convulsion and is suspected to have encephalitis or meningitis How CSF be done when the facility of fundus examination is not available?
5
Expert Answer :
CSF examination should be deferred and the child treated with antibiotics if unstable. Fundoscopy, a skill that can be achieved with practice needs a pocket fundoscope and can be done in undilated pupils. Remember that papilledema can take up to 24 hrs to develop so a normal fundus does not guarantee against raised ICP.
Answer Discussion :
A
anulika chiemela
Profile
Treat accordingly to Abcd
5 months ago
D
Dr Mulazim H. Khara.
Profile
Either CT scan brain with and without contrast be done..and/or
Two mannitol doses, followed by CSF R/E,.

5 months ago
K
Kholofelo Maphoto
Profile
1. ABCD, Age is NB - those less than 18 months with an open anterior fontanelle we can do an LP. Those above 18 months whose AF is closed. Do CT Brain, then do a LP if CT Brain is normal with no signs of raised intracranial pressure.
6 months ago
M
Murad Ali Khan
Profile
treat according to ABCD, do CT scan brain and do LP after stabilization
6 months ago
D
Dr Ola
Profile
Clinical diagnosis is enough
6 months ago




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