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Don't take our word for it
"The stations you provide are strikingly similar to those I came across during my medical school finals (some even verbatim!), and I have tried many other exam platforms. I'm truly grateful for your priceless support throughout my final couple of years at medical school!"
Raza Q π¬π§
"It has absolutely everything for medical school, so many histories with detailed differential diagnoses, how to approach emergencies, commonly prescribed drugs..every kind go examination youβll ever need in osces"
John R π¬π§
"Thank you SO MUCH for the amazing educational resource. Iβve tried lots of platforms and books with mock OSCE stations and yours is by far and away the best Iβve tried"
Ed M π³πΏ
"Get this right away. So helpful for OSCEs but also general clinical learning and understanding. Wish I had brought it sooner"
Emma W π¬π§
"Without a doubt, your platform outshines all other OSCE resources currently available. In all honesty, I can confidently attribute my success in securing a distinction in my finals to OSCEstop."
Harish K π¬π§
"OSCEstop distinguishes itself from many other platform banks by offering a wealth of questions that mimic the demanding and complex aspects of our finals. This platform played a crucial role in ensuring I was ready for the level of difficulty that awaited me in my final exams."
Meningitis is an inflammation of the membranes (meninges) surrounding the brain and spinal cord. It can be caused by infections (viral, bacterial, fungal) or non-infectious factors (e.g., drugs, autoimmune diseases).
Etiology:
Bacterial Meningitis:
More severe; common organisms include Neisseria meningitidis, Streptococcus pneumoniae, and Haemophilus influenzae.
Viral Meningitis:
Often less severe; common viruses include enteroviruses, herpes simplex virus, and varicella-zoster virus.
Fungal Meningitis:
Less common; seen in immunocompromised individuals.
Epidemiology:
Incidence and prevalent organisms vary by age, region, and vaccination status.
Pathophysiology:
Infection or other inflammatory triggers cause the meninges to swell, which can affect the brain and spinal cord, potentially leading to life-threatening complications.
Clinical Features:
Classic triad: Fever, headache, and neck stiffness.
Other symptoms: Nausea, vomiting, photophobia, altered mental status.
In infants, symptoms may be nonspecific: irritability, poor feeding, bulging fontanelle.
Kernigβs and Brudzinskiβs signs may be present.
Diagnosis:
Lumbar puncture with cerebrospinal fluid (CSF) analysis is crucial: elevated white cell count, elevated protein, and decreased glucose in bacterial meningitis; lymphocytic predominance in viral meningitis.
Blood cultures, CT or MRI before lumbar puncture if raised intracranial pressure is suspected.
PCR and antigen tests for specific pathogens.
Management:
Bacterial meningitis: Immediate empirical intravenous antibiotics and sometimes corticosteroids.
Viral meningitis: Supportive care; specific antivirals for cases like herpes simplex.
Fungal meningitis: Antifungal therapy.
Vaccination for prevention: Pneumococcal, meningococcal, and Haemophilus influenzae type b (Hib) vaccines.
Prognosis:
Bacterial meningitis can be fatal if not treated promptly and carries risk of serious complications like hearing loss, brain damage, or learning disabilities.