NBME 22 Herpes encephalitis (NBME Answers)

+6
submitted by imnotarobotbut(161),

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olAhutgh eetrh are on ciceisfp spehre ,croindsiat a FCS nleap iwth syltom tcoeyseluk isiedncat a ravli iocnfneti as( wlle as teh amnrlo )clusog.e oS yuo anc elur tou TB, soridnasiuesorco and tbarlacei. ekrnskrigid/ziuBn sgni are reeadlt to egtmni,insi tbu eevn if oyu d'not kown twah stoeh a,re eth euotinsq assy htat ereht is na oblrimnayat ni het AMPRTLOE boel imi(eingnts = em.)eingsn lshnaEtipiec wdulo be teh best nwsar,e salpiyceel asubeec esrHpe hnsicplaetiE facsetf the trolmepa o.elb

taediggity Also look for Kluver-Bucy like symptoms in the stem +1

mambaforstep why? +

b1ackcoffee I agree with everything but normal glucose. Glucose here is NOT normal. to quote wiki "The glucose level in CSF is proportional to the blood glucose level and corresponds to 60-70% of the concentration in blood. Therefore, normal CSF glucose levels lie between 2.5 and 4.4 mmol/L (45–80 mg/dL)." +

baja_blast NBME reference table gives normal CSF glucose to be 40-70 mg/dL. As far as I'm concerned, for the purposes of the exam the reference table is probably a better source than wiki. +4