OSCE 221: Meningitis

Introduction A 30-year-old prisoner is admitted to the unit with suspected meningitis. He presented with a two day history of headache, fever and neck stiffness. A lumbar puncture has been...

Lumbar Puncture

Diagnostic lumbar puncture show the following findings… Opening Pressure Appearance Cell Differential WCC (per mm3) Protein (g/L) Glucose-Serum Ratio Gram stain Bacterial Meningitis 32 Turbid Neutrophilic (polymorphonuclear) pleocytosis 2,300 1.23 0.32...