https://padlet.com/msbban002/m6w2l4s3spy69sfr . en-us 2021-05-16 15:24:35 UTC 2025-08-21 10:31:11 UTC hello@padlet.com msbban002 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186569 - Anathi (1 yr. old) 
- Lives with mother and 8 other family members
- 2 bedroom-brick house 
- mother is recently divorced
- father is an alcoholic 

[First visit]
- Presenting complaint: loss of appetite, vomiting, being very irritable 
- Has not been vaccinated (mother does not recall) 

[Second visit]
- not speaking ("mamma")]]> 2021-05-16 23:11:16 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186569 msbban002 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186710 Dr. observation 
- pyrexial (40 °C ) 
- drowsy
- neck stiffness 
- bulging anterior fontanelle 

Investigation results 
- CT scan; no brain hierniation 
- chest X-ray; no abnormalities 
- lumbar puncture;  microscopy, biochemical tests and routine culture (Haemophilus influenzae type B)]]> 2021-05-16 23:11:26 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186710 msbban002 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186866 - lumbar puncture;  microscopy, biochemical tests and routine culture (Haemophilus influenzae type B) 
- clinically worsening 
-  sensorineural hearing loss ]]> 2021-05-16 23:11:38 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529186866 msbban002 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529187711 - Anathi was given  Ceftriaxone (prior to admission + IV in hospital) 
- communication parent training (signing + lip reading) 

- notifiation of disease (Category 2) 
- on 2nd visit; referred to audiologist
- prophylaxis (family) ]]> 2021-05-16 23:12:28 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529187711 msbban002 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529188346 2021-05-16 23:13:14 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1529188346 ndltha070 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1530151156 Knowledge gaps 
- effect of meningitis in children (sensory, visual) 
- meningitis 
- Public health of Catergory 2 notifiable disease
Prior knowledge 
- S. agalactiae, Listeria mono., CMV
- main telling sign of meningitis; stiffness fo neck
- sub-arachnoid haemorrhage can present with meningitis-like symptoms (proximity of structures in the brain, cause effect on meninges)]]> 2021-05-17 06:46:43 UTC https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1530151156 ndltha070 https://padlet.com/msbban002/m6w2l4s3spy69sfr/wish/1530173564 - meningitis 
- treatment of meningitis 
- prevention of meningitis
- presentations 
- complications 
- prognosis 

- investigations for meningitis (microscopy, biochemical tests and routine culture)

- sign language and lip reading 
- child language development 
- dynamics of family; child with hearing loss, language development barrier

- Public health of meningitis (on population scale) 
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