That "CT" for HSV encephalitis is actually a T2 weighted MRI. MRI is the most sensitive and specific test for HSV encephalitis.
@g-mannG5 жыл бұрын
😂
@DrDinooshDeLivera5 жыл бұрын
with bilateral temporal lobe enhancement!
@oatv5 жыл бұрын
Maybe this was a "recent" update, given that this video is about 5 years old, but (correct me if I'm wrong) the BEST test to diagnose either encephalitis or brain abcess is an MRI, not a CT scan!
@micaelpompermayer95484 жыл бұрын
Last semester I had Radiology and the latest "update" is, indeed, MRI.
@xDomglmao4 жыл бұрын
@@micaelpompermayer9548 Thank you very much!
@cate25527 жыл бұрын
The slide for Encephalitis is incorrect: the treatment that you outlined would be for close contacts of individuals with bacterial meningitis. "For contacts of patients with H influenzae meningitis, the chemoprophylactic agent of choice is rifampin at a dosage of 10 mg/kg twice a day (maximum, 1200 mg/d) for 4 days. For contacts of patients with N meningitidis meningitis, rifampin is also used, but the duration of therapy is only 2 days. An alternative to rifampin for adult contacts of patients with meningococcal meningitis is a single 500-mg dose of ciprofloxacin"
@neigeepierrot46944 жыл бұрын
Cate LePree good catch good to know
@xDomglmao4 жыл бұрын
Thx Cate!
@myradelarosa14675 жыл бұрын
Thank you so much Dr. Paul... i just have one correction..in treatment for TB Meningitis..aside from isoniazid, rifampicin....the 3rd one is pyrazinamide in quadruple Anti-Tb...not pyramethamine. Thank you!
@Bnrar554 жыл бұрын
And fourth being ethambutol...
@isaacvidal27775 жыл бұрын
Dexamethasone may be beneficial in S. pneumoniae or H. influenzae meningitis, if given 15-20 mins before antibiotics.
@neigeepierrot46944 жыл бұрын
Very informative also good job adding additional facts and details
@James-22484 ай бұрын
Not even a med student, but I’m learning so much
@silee5266 жыл бұрын
Thank you Dr. Bolin
@kirubakaran09stanley6 жыл бұрын
Concise lecture ... Really easy to understand
@DrDinooshDeLivera6 жыл бұрын
Thank you Dr Bolin, really great lectures!
@jewelryinvegas8 жыл бұрын
An excellent video as usual Dr. Bolin and extremely helpful to me in my nurse practitioner courses. I do have a question about when to start the empiric antibiotics because you said initially that the antibiotics should be started immediately and then later mentioned that we should wait until we get the results of the CSF cultures. I believe that you were correct in your first statement that the empiric antibiotics should be started as soon as the LP is done without waiting for the results, and then begin specific antibiotics after we get the results. Which one is correct?
@owensogbeiwi35268 жыл бұрын
jewelryinvegas
@21stcenturyoptimist6 жыл бұрын
You begin after LP.
@isaacvidal27775 жыл бұрын
Antibiotics may be given empirically up to 2 hours before and LP.
@xDomglmao4 жыл бұрын
this might help (from meded [note: for USMLE purposes]): "LP first; if LP fails: 1. Blood cultures first (this is a MKSAP teaching point)
@poohthetabby6647 жыл бұрын
Hello Dr Paul, you did mention that close contact people with Viral Encephalitis should be treated prophylactically with Ciprofloxacin or Rifampin which are antibiotics rather than Antivirals? Is there a reason behind that? I did'nt happen to find anything online on this so waiting for your response here. Btw love your channel :)
@sbadrawi2011a7 жыл бұрын
He did mention that he does not know why and that "that's the way things are!" So, for test purposes go with the antibiotics.
@doctorshakeel94423 жыл бұрын
Bacteria can invade the pre existing viral encephalistis and is a high risk for Meningism.. So prophylactic Antibiotics should be given in such patients
@claire53993 жыл бұрын
Cipro . Yikes
@MrHaloman37 жыл бұрын
Thanks a ton.
@Daniel-rk2qz7 жыл бұрын
If presumptive dx of toxo, do you still get brain bx?
@sbadrawi2011a7 жыл бұрын
No. HIV + abscess = Toxoplasmosis (for test purposes). Treat Toxoplasmosis and if no improvement or symptoms worsen then we think about bx.
@zimymyss2334 жыл бұрын
tb meningitis is common in India,neuro syphilis is common in India again cerebral malaria common in India, amoeboma. In the brain tuberculoma in the brain all are not rare in india
@davidwarmflash53296 жыл бұрын
Lyme disease, not Lyme's d. It's the name of a city.