. Patient is lethargic, complains of headache, stiff neck and fever. Following are the CSF results: Blood Chemistry - glucose fasting 90 mg/dl CSF physical - colorless, cloudy Microscopic - WBC- 7,300/ul diff count - monocytes 7%, lymphocytes6% Neutrophils87% Chemical- Total protein - 130 mg/dl, glucose 32 mg/dl, lactate 33 mg/dl a. Calculate the CSF/plasma glucose ratio b. What is most likely the preliminary diagnosis? c. Does the CSF lactate value can assist in determining a diagnosis for this patient?

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3. Patient is lethargic, complains of headache, stiff neck and fever. Following are the CSF results:
Blood Chemistry - glucose fasting 90 mg/dl
CSF physical - colorless, cloudy
Microscopic - WBC- 7,300/ul diff count - monocytes 7%, lymphocytes6% Neutrophils87%
Chemical- Total protein - 130 mg/dl, glucose 32 mg/dl, lactate 33 mg/dl
a. Calculate the CSF/plasma glucose ratio
b. What is most likely the preliminary diagnosis?
c. Does the CSF lactate value can assist in determining a diagnosis for this patient?
d. Explain briefly the physiologic mechanism that account for the CSF total protein and glucose values.
Transcribed Image Text:3. Patient is lethargic, complains of headache, stiff neck and fever. Following are the CSF results: Blood Chemistry - glucose fasting 90 mg/dl CSF physical - colorless, cloudy Microscopic - WBC- 7,300/ul diff count - monocytes 7%, lymphocytes6% Neutrophils87% Chemical- Total protein - 130 mg/dl, glucose 32 mg/dl, lactate 33 mg/dl a. Calculate the CSF/plasma glucose ratio b. What is most likely the preliminary diagnosis? c. Does the CSF lactate value can assist in determining a diagnosis for this patient? d. Explain briefly the physiologic mechanism that account for the CSF total protein and glucose values.
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