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15. Benjamin, a 21-year-old male is brought to the emergency department by his parents will that he has not been himself for
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Answer #1
  1. CSF glucose lower than normal is result of bacterial meningitis. It increased anaerobic glycolysis in brain tissue and impaired transport of CSF. It also causes disruption of blood brain barrier and causes inflammation.
  2. Headache
  • Altered mental status
  • Nuchal rigidity
  • Fever
  • Tachycardia 115
  • Hypotension 112/70

3. Appearance - cloudy

  • Protein - 60( normal 15-45mg/dl)in bacterial meningitis >200
  • Sugars - 30(normal 50-80mg/dl) in bacterial meningitis <40
  • Gram stain - positive, (normal ) in bacterial meningitis it is positive.

4.bacterial meningitis. The above mentioned symptoms and CSF analysis shows patient has bacterial meningitis.

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