A Case Study Pathophysio

Jun 18th, 2015
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Meningitis is an inflammation of the Pia meter, the arachnoid and the Cerebrospinal Fluid (CSF) – filled subarachnoid space. Septic meningitis is caused by bacteria. The most common pathogens causing septic meningitis are Streptococcus pneumonia and Nisseria meningitides. Once the causative organism enters the bloodstream, it crosses the blood – brain barrier and proliferates in the CSF. The host immune response stimulates the release of cell wall fragments and lipopolysaccharides, facilitating inflammation of subarachnoid and pia meter. Because the cranial vault contains little room for expansion, the inflammation may cause increased intracranial pressure (ICP). CSF circulates through the subarachnoid space, where inflammatory cellular materials from the affected meningeal tissue enter and accumulate. CSF studies demonstrate decreased glucose, increased protein levels and increased white blood cell count. The prognosis for bacterial meningitis depends on the causative organism, the s

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TABLE OF CONTENTSPAGEBIOGRAPHIC DATAII. NURSING HISTORY PAST HEALTH HISTORY HISTORY OF PRESENT ILLNESS FAMILY HISTORYIII. COURSE IN THE WARD DIAGNOSTICS LABORATORIES MEDICATIONSIV. Pathology and PhysiologyV. NCP233I.33555791Biographic dataNAME: Rachel Tino PandayAGE:7 years oldGENDER: FemaleDATE OF BIRTH:August 15, 2003ADDRESS: Simona Subdivision, San Isidro, Taytay RizalNATIONALITY: FilipinoCIVIL STATUS: SingleRELIGION: Roman CatholicDATE OF ADMISSION: March 24, 2011TIME OF ADMISSION:5:50 PMCHIEF COMPLAINT: Upward rolling of eyeballsMEDICAL DIAGNOSIS:t/c CNS Infection: Bacterial Meningitis2Nursing historyPast health historyPatient X has no past surgeries and blood transfusion. She has alsonegative allergy to food and drug, but she have been positive before by havingmeasles, mumps and chickenpox.History of present illnessThe history of present illness started 4 days prior to admission when thept. had petechial rashes. No other associated sign and symptoms noted.3 days PTA, still with rashes, she had high grade undocumented fever.No consult done, she was given Paracetamol which decrease temporary lysis offever.Few hours PTA, still with above symptoms but no rashes. She hadconsciousness describe as upward rolling of eyeballs. She was brought atTaytay emergency hospital and was advised admissions but due to lack offacilities she was transferred to RMC hence admission.Fa

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