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Questions and Answers

What are the common organisms that cause acute meningitis?

  • Pseudomonas aeruginosa and Escherichia coli
  • Staphylococcus aureus and Streptococcus pyogenes
  • Streptococcus pneumoniae and Haemophilus influenzae
  • Group B streptococci and Neisseria meningitides (correct)

What are the common organisms that cause acute meningitis?

  • Group A streptococci and Haemophilus influenzae
  • Escherichia coli and Klebsiella pneumoniae
  • Streptococcus pneumoniae and Staphylococcus aureus
  • Group B streptococci and Neisseria meningitides (correct)

True or false: Splenectomy is the only option for treating splenomegaly.

False (B)

What are the common organisms causing acute meningitis?

<p>Group B streptococci and Neisseria meningitides (D)</p> Signup and view all the answers

True or false: Chiropractic management for splenomegaly does not involve avoiding high impact sports.

<p>False (B)</p> Signup and view all the answers

What are the symptoms of acute meningitis?

<p>Headache, neck stiffness, and photophobia (D)</p> Signup and view all the answers

What is the classic presentation of Hodgkin's Lymphoma?

<p>Constitutional symptoms and painless swollen lymph nodes (A)</p> Signup and view all the answers

What are the symptoms of acute meningitis?

<p>Fever, headache, neck stiffness, photophobia, phonophobia, vomiting, rash, dehydration, lethargy, confusion, seizures, focal neurologic deficit, changes in consciousness, irritability, and coma (B)</p> Signup and view all the answers

What is the recommended treatment for meningitis?

<p>Corticosteroids and antibiotics (C)</p> Signup and view all the answers

What is the most appropriate chiropractic management for splenomegaly?

<p>Avoiding high impact sports (B)</p> Signup and view all the answers

What is the classic presentation of Hodgkin's Lymphoma?

<p>Painless swollen lymph nodes (C)</p> Signup and view all the answers

True or false: Acute meningitis is always caused by an infection.

<p>True (A)</p> Signup and view all the answers

What is the age distribution of Hodgkin's Lymphoma?

<p>Bimodal (C)</p> Signup and view all the answers

True or false: Neck stiffness is not a symptom of acute meningitis.

<p>False (B)</p> Signup and view all the answers

What are the warning signs that chiropractors should recognize in patients with meningitis?

<p>Fever, headache, and neck stiffness (C)</p> Signup and view all the answers

What is the bimodal age distribution of Hodgkin's Lymphoma?

<p>10-20 and 40-50 years (A)</p> Signup and view all the answers

What is the most common type of lymphoma?

<p>Non-Hodgkin's Lymphoma (B)</p> Signup and view all the answers

True or false: Dehydration is not a symptom of acute meningitis.

<p>False (B)</p> Signup and view all the answers

What is the immediate treatment necessary for meningitis?

<p>Corticosteroids and antibiotics (C)</p> Signup and view all the answers

What is the classic presentation of Hodgkin's Lymphoma?

<p>Constitutional symptoms and painless swollen lymph nodes (C)</p> Signup and view all the answers

What is the treatment for acute meningitis?

<p>Corticosteroids and antibiotics (C)</p> Signup and view all the answers

What is the most common type of lymphoma?

<p>Non-Hodgkin's Lymphoma (D)</p> Signup and view all the answers

True or false: Lumbar puncture is not necessary for diagnosing acute meningitis.

<p>False (B)</p> Signup and view all the answers

What is the age distribution of Hodgkin's Lymphoma?

<p>Bimodal (B)</p> Signup and view all the answers

True or false: There are absolute contraindications for chiropractic management of splenomegaly.

<p>False (B)</p> Signup and view all the answers

What is the immediate referral needed for splenic rupture or hemorrhage?

<p>Referral to A&amp;E (C)</p> Signup and view all the answers

What are the symptoms of acute meningitis?

<p>Fever, headache, neck stiffness, photophobia, phonophobia, vomiting, rash, dehydration, lethargy, confusion, seizures, focal neurologic deficit, changes in consciousness, irritability, and coma (B)</p> Signup and view all the answers

What is the more common type of lymphoma?

<p>Non-Hodgkin's Lymphoma (A)</p> Signup and view all the answers

What is the appropriate post-surgical recovery period for splenomegaly?

<p>6-8 weeks (B)</p> Signup and view all the answers

What is the post-surgical recovery period needed for splenomegaly?

<p>6-8 weeks (A)</p> Signup and view all the answers

True or false: Patient tolerance for LUQ pain is not a consideration in chiropractic management of splenomegaly.

<p>False (B)</p> Signup and view all the answers

What should chiropractors do when they encounter patients with painless lymph node enlargement or red flags?

<p>Refer the patients for immediate medical evaluation (B)</p> Signup and view all the answers

What are the possible neurologic deficits in survivors of meningitis?

<p>Deafness, eye problems, cerebral infarction, etc (D)</p> Signup and view all the answers

What is the chiropractic management for splenomegaly?

<p>Avoiding high impact sports and immediate referral for splenic rupture or hemorrhage (A)</p> Signup and view all the answers

What are the options for treating splenomegaly?

<p>Splenectomy and avoiding high impact sports (C)</p> Signup and view all the answers

True or false: Post-surgical recovery period of 1-2 weeks is necessary before putting force or stress on the area.

<p>False (B)</p> Signup and view all the answers

What are the possible neurologic deficits of survivors of meningitis?

<p>Deafness, eye problems, cerebral infarction, etc (B)</p> Signup and view all the answers

What is the recommended management for splenomegaly in chiropractic?

<p>High impact sports and immediate referral for splenic rupture or hemorrhage (A)</p> Signup and view all the answers

What is the appropriate chiropractic management for splenomegaly-related pain?

<p>Use gentle techniques and consider patient tolerance (C)</p> Signup and view all the answers

True or false: Hodgkin's Lymphoma has a unimodal age distribution.

<p>False (B)</p> Signup and view all the answers

What is the recovery period after splenectomy?

<p>6-8 weeks (B)</p> Signup and view all the answers

True or false: Non-Hodgkin's Lymphoma is less common than Hodgkin's Lymphoma.

<p>False (B)</p> Signup and view all the answers

What are the contraindications for chiropractic management of splenomegaly?

<p>There are no absolute contraindications (B)</p> Signup and view all the answers

True or false: Chiropractors should not refer patients with painless lymph node enlargement for medical evaluation.

<p>False (B)</p> Signup and view all the answers

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Study Notes

  1. Surgical repair or splenectomy are options for splenomegaly.
  2. Chiropractic management for splenomegaly includes avoiding high impact sports and immediate referral for splenic rupture or hemorrhage.
  3. Acute meningitis is an inflammation of the meninges of the brain and/or spinal cord.
  4. Acute meningitis is often infectious, with common organisms including Group B streptococci and Neisseria meningitides.
  5. Symptoms of acute meningitis develop over hours or days and include fever, headache, neck stiffness, photophobia, phonophobia, vomiting, rash, dehydration, lethargy, confusion, seizures, focal neurologic deficit, changes in consciousness, irritability, and coma.
  6. Diagnosis of acute meningitis involves lumbar puncture for CSF analysis, culture, gram stain, and bacterial DNA.
  7. There are no absolute contraindications for chiropractic management of splenomegaly.
  8. Patient tolerance for any LUQ pain should be considered in chiropractic management of splenomegaly.
  9. Post-surgical recovery period of 6-8 weeks is necessary before putting force or stress on the area.
  10. Immediate referral to A&E is necessary for splenic rupture or hemorrhage.
  11. Immediate treatment is necessary for meningitis with corticosteroids and antibiotics.
  12. High mortality rate among newborns, elderly, and immunocompromised patients.
  13. Survivors of meningitis may have neurologic deficits such as deafness, eye problems, cerebral infarction, etc.
  14. Chiropractors should recognize warning signs and refer patients for immediate medical treatment.
  15. Hodgkin's Lymphoma is a lymphoreticular proliferation of unknown cause.
  16. Hodgkin's Lymphoma has a bimodal age distribution.
  17. Classic presentation of Hodgkin's Lymphoma includes constitutional symptoms and painless swollen lymph nodes.
  18. Non-Hodgkin's Lymphoma is more common than Hodgkin's Lymphoma.
  19. Classic presentation of Non-Hodgkin's Lymphoma includes painless lymphadenopathy and constitutional symptoms.
  20. Chiropractors should refer patients with painless lymph node enlargement or red flags for medical evaluation.

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