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Internal Medicine-Infectious DiseasesInternal Medicine-Neurology

CSF Analysis

Here are the normal parameters :

Pressure          = 50-180 mmH2O
Color                = clear
RBC count       = 0-4 x 10^6/L
WBC count      = 0-4 x 10^6/L
Glucose            = >60% of the serum level
Protein             = < 0.45 g/L
Microbiology   = sterile//no growth

Subarachnoid haemorrhage :

Pressure increased, bloody, RBC count increased, WBC = normal/increased, glucose = normal, protein = increased, sterile
 
Acute bacterial meningitis :

Pressure normal/increased, cloudy/turbid, RBC count = normal, WBC = 1000-5000 polymorphs, glucose = decreased, protein = increased, organism present on gram stain/culture

Viral meningitis

Pressure normal, clear, RBC count = normal, WBC = 10-2000 lymphocytes, glucose = normal, protein = normal/increased, sterile/viral DNA or RNA present

Tuberculous meningitis

Pressure normal/increased, clear/cloudy, RBC count = normal, WBC = 50-5000 lymphocytes, glucose = decreased, protein = increased, ZN stain/Auramine stain