Template:Lumbar Puncture Diagnosis - Revision history

Rossdonaldson1 at 21:43, 17 November 2014

2014-11-17T21:43:52Z

← Older revision		Revision as of 21:43, 17 November 2014
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	*^^^For unexplained elevations of protein, consider [[encephalitis]], [[MS]], [[Guillian Barre]]		*^^^For unexplained elevations of protein, consider [[encephalitis]], [[MS]], [[Guillian Barre]]

	'''~~Correction~~'''		'''Corrections'''
	*WBC correction (for bloody tap)		*WBC correction (for bloody tap)
	**Simplified version (if peripheral WBC and RBC counts are within normal limits):		**Simplified version (if peripheral WBC and RBC counts are within normal limits):

Rossdonaldson1 at 21:43, 17 November 2014

2014-11-17T21:43:24Z

← Older revision		Revision as of 21:43, 17 November 2014
Line 28:		Line 28:
	*^^^For unexplained elevations of protein, consider [[encephalitis]], [[MS]], [[Guillian Barre]]		*^^^For unexplained elevations of protein, consider [[encephalitis]], [[MS]], [[Guillian Barre]]

	~~===~~Correction~~===~~		'''Correction'''
	*WBC correction (for bloody tap)		*WBC correction (for bloody tap)
	**Simplified version (if peripheral WBC and RBC counts are within normal limits):		**Simplified version (if peripheral WBC and RBC counts are within normal limits):

Rossdonaldson1: /* Correction */

2014-11-17T21:39:57Z

Correction

← Older revision		Revision as of 21:39, 17 November 2014
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	***"WBCs added" = WBC(blood) x [RBC(CSF) / RBC(blood)]		***"WBCs added" = WBC(blood) x [RBC(CSF) / RBC(blood)]
	***WBC counted/resulted - "WBCs added" = actual WBC		***WBC counted/resulted - "WBCs added" = actual WBC
	*Protein		*Protein correction (for bloody tap)
	**For each 1000 RBC decrease protein value by 1mg/dl		**For each 1000 RBC decrease protein value by 1mg/dl

Rossdonaldson1 at 21:39, 17 November 2014

2014-11-17T21:39:34Z

@@ Line 1: / Line 1: @@
 {| class="wikitable"
 |-
-| '''Measure'''
+| '''Appearance'''||Clear||Clear, cloudy, or purulent||Clear||Clear or opaque||Clear or opaque||Xanthochromia, bloody, or clear||Clear or opaque
 |-
-| Opening Pressure
+| '''Opening Pressure (cm H2O)'''||10-20||>25||Normal or elevated||>25||>25||>25||Normal or elevated
 |-
-| WBC Count^
+| '''WBC Count^ (cells/µL)'''||0-5^||>100^||5-1000||<500|| 50-500||0-5 (see correction section)||<500
 |-
-| &nbsp;% PMNs
+|  '''% PMNs'''||||>80-90%||1-50%^^||1-50%||Early PMN then lymph||||1-50%
 |-
-| Glucose
+| '''Glucose'''||>60% of serum glucose|| Low||Normal||Low||Low||Normal||Normal
 |-
-| Protein
+| '''Protein^^^ (mg/dL)'''||< 45||Elevated||Elevated||Elevated||Elevated||Elevated||>200
 |-
-| Gram Stain
+| '''Gram Stain'''||Neg||Pos||Neg||India ink||Tb stain||Blood||
 |}
-^For bloody tap, subtract 1 WBC for every 250 RBC
+*^Normal or lower WBC results may be found in immunocompromised, early, or partially treated (e.g. with oral antibiotics) bacterial menintigis, and those with tuberculosis meningitis
 ===Correction===
 *Protein
 **For each 1000 RBC decrease protein value by 1mg/dl

Ostermayer: wikitable

2014-11-05T21:48:04Z

wikitable

← Older revision		Revision as of 21:48, 5 November 2014
Line 1:		Line 1:
	{\| ~~style~~="~~width: 500px" border="1" cellpadding="1" cellspacing="1~~"		{\| class="wikitable"
	\|-		\|-
	\| '''Measure'''		\| '''Measure'''

Rossdonaldson1 at 07:18, 13 June 2014

2014-06-13T07:18:15Z

← Older revision		Revision as of 07:18, 13 June 2014
Line 45:		Line 45:

	^For bloody tap, subtract 1 WBC for every 250 RBC		^For bloody tap, subtract 1 WBC for every 250 RBC

			===Correction===
			*Protein
			**For each 1000 RBC decrease protein value by 1mg/dl
			*WBC
			**Actual WBC = Counted WBC - (RBCcsf X (WBCblood/RBC blood)

Rossdonaldson1: Created page with "{| style="width: 500px" border="1" cellpadding="1" cellspacing="1" |- | '''Measure''' | '''Bacterial''' | '''Viral''' | '''Fungal''' | '''Neoplastic''' |- | Opening Pressure ..."

2014-03-03T07:14:08Z

Created page with "{| style="width: 500px" border="1" cellpadding="1" cellspacing="1" |- | '''Measure''' | '''Bacterial''' | '''Viral''' | '''Fungal''' | '''Neoplastic''' |- | Opening Pressure ..."

New page

{| style="width: 500px" border="1" cellpadding="1" cellspacing="1"
|-
| '''Measure'''
| '''Bacterial'''
| '''Viral'''
| '''Fungal'''
| '''Neoplastic'''
|-
| Opening Pressure
| >30
| <30
| ~30
| ~20
|-
| WBC Count^
| >1000
| <1000
| <500
| <500
|-
|  % PMNs
| >80%
| 1-50%
| 1-50%
| 1-50%
|-
| Glucose
| <40
| >40
| <40
| <40
|-
| Protein
| >200
| <200
| >200
| >200
|-
| Gram Stain
| Pos
| neg
| India ink
| <br>
|}

^For bloody tap, subtract 1 WBC for every 250 RBC