BRAIN ABSCESS

Question 1

DOCUMENTATION

Answer 1

CLINICAL FEATURES

Headache
Altered Mental Status
Fever
FOCAL NEUROLOGICAL DEFICITS

RISK FACTORS
Head Trauma
Neurosurgicla Procedures
Sinusitis, Acute Otitis Media, Mastoiditis

Question 2

MANAGEMENT

Answer 2

Antibiotics
Steroids
Early Neurosurgical Consult

Question 3

Antibiotic Dosing: oral, ENT, sinus

Answer 3

Metronidazole + penicillin (oral)
Metronidazole + ceftriaxone (ENT or sinus)

Question 4

Antibiotic Dosing: Hemtogenous

Answer 4

Vancomycin +/- Metronidazole (if anaerobic source)

Question 5

Antibiotic Dosing: Penetrating brain injury

Answer 5

Vancomycin + Ceftriaxone

Question 6

Antibiotic Dosing: Post neurosurgical procedure

Answer 6

Vancomycin + meropenem