Podcast 556: CSF - What is it good for?
Emergency Medical Minute28 Huhti 2020

Podcast 556: CSF - What is it good for?

Contributor: Eric Miller, MD

Educational Pearls:

  • A cell count is performed on tubes 1 and 4 to account for changes that may occur from blood entering the first sample from the needle insertion
  • Tube 2 and 3 are usually used for the other studies like protein levels, glucose levels and gram staining
  • Protein levels are often elevated in bacterial meningitis but can be helpful in diagnosis conditions like multiple sclerosis
  • Glucose levels are typically low in bacterial meningitis due to the use of glucose by bacteria
  • Cell counts above 3-5 cells are typically abnormal, but cell counts can vary widely depending on the type of meningitis (viral vs. bacterial) and how long the infection has been present.
  • Cell type and differential can indicate viral vs. bacterial meningitis
    • Neutrophils are more associated with bacterial causes
    • Lymphocytes are more associated with viral etiologies
  • CSF cultures are used to identify the cause of bacterial meningitis but can take days to result.
  • A gram stain can help determine if any bacteria are present as well as cell types present.

References

  1. Jain, R. Chang, WW. Emergency Department Approach to the Patient with Suspected Central Nervous System Infection. Emerg Med Clin North Am. 2018 Nov;36(4):711-722. doi: 10.1016/j.emc.2018.06.004.

Summarized by Jackson Roos, MS3 | Edited by Erik Verzemnieks, MD



Jaksot(1147)

CBHW Summit: A Strategic Framework for Addiction Medicine

CBHW Summit: A Strategic Framework for Addiction Medicine

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Judith Shlay, MD, MSPH, Associate Director, Denver Public Health, and Brooke Bender, MPH, Center for Addiction Medici...

27 Marras 201945min

CBHW Summit: Safe Prescribing 101/201

CBHW Summit: Safe Prescribing 101/201

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Christopher Urbina, MD, MPH, Colorado Consortium for Prescription Drug Abuse Prevention

27 Marras 20191h 8min

CBHW Summit: Male Mental Health - A Crisis in Public Health

CBHW Summit: Male Mental Health - A Crisis in Public Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Jason Vitello, MSW, Behavioral Health Coordinator, Denver Public Health/CPHA

27 Marras 201952min

CBHW Summit: Children's Mental Health

CBHW Summit: Children's Mental Health

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Sarah Davidon, EdD, Director of Research & Child and Adolescent Strategy, Mental Health Colorado, and Sarah Younggren...

27 Marras 20191h 6min

CBHW Summit: Positive Psychology and Well-Being

CBHW Summit: Positive Psychology and Well-Being

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Carl Clark, MD, President & Chief Executive Officer, Mental Health Center of Denver

27 Marras 201923min

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

CBHW Summit: Words Matter - How Language Can Shift Public Thinking

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributor: Karen Prestia, MBA, Director, Marketing & Communications, Mental Health Center of Denver

27 Marras 201933min

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

CBHW Summit: Integrated Substance Use, Family Systems, and Culturally Responsive Treatment in Community Mental Health Settings

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Allison Miller, LCSW, LAC, Program Manager of Child and Family Outpatient Services, Mental Health Center of Denver, a...

26 Marras 20191h 11min

CBHW Summit: Substance Use During the Perinatal Period

CBHW Summit: Substance Use During the Perinatal Period

From DU's 1st annual Colorado Behavioral Health and Wellness Summit: Contributors: Tracy Vozar, Ph.D., Director of the Infant and Early Childhood Mental Health Specialty, and Jennifer M. Tippett, Psy...

26 Marras 20191h 5min

Suosittua kategoriassa Tiede

rss-poliisin-mieli
rss-mita-tulisi-tietaa
tiedekulma-podcast
rss-luontopodi-samuel-glassar-tutkii-luonnon-ihmeita
utelias-mieli
rss-duodecim-lehti
radio-antro
docemilia
filocast-filosofian-perusteet
rss-tervetta-skeptisyytta
rss-lihavuudesta-podcast
rss-sosiopodi