NBME 22 Herpes encephalitis (NBME Answers)

+6
submitted by imnotarobotbut(161),

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hlogthAu ehert era no icipsefc heresp aotdcnsiri, a SCF lnape hwti mtloys utleesycok idescniat a rvlai oticnfein s(a lwel sa teh lomran celug)os. oS you nca ulre otu ,TB esooioaducisrsnr and aeblarci.t idkrznkiBsrig/uen sgni era daeeltr ot eiiitsm,ngn but veen if yuo tno'd nwok tahw sohet r,ea the qstiuneo syas ttah eethr si na liaomrbatyn ni teh PLAEMRTO bloe i(gmienstni = )gmeesn.in claieihsptnE ulwod be het tebs s,narew illaysecpe ebsceau spHeer heptcalEinis ftcfsae eth tpaleorm o.leb

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