M&M - Dr. Zahn
> Type I: Extends through the tip of the dens
> Type II: Extends through the base of the dens - unstable
> Type III: Extends through vertebral body of axis - can be unstable
- Falls - leading cause of injury
- Frequently fail to mount a tachycardic response
> If lymphocytic meningitis, likely not viral if low glucose - LOW GLUCOSE IS NOT NORMAL FOR VIRAL MENINGITIS
> Absence of fever doesn't exclude TB
> Cranial nerve 6 = most common nerve palsy in meningitis
Chronic Acetaminophen Toxicity
- Can't use nomagram with chronic ingestions
- NAC - replenished and maintains glutathione stores - also thought to have a role in free radical scavenging; IV or PO acceptable
- If unknown ingestion time and LFTs or APAP elevated
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