It must be emphasized that in infants (with no overgrown fontanel) at the age of 4 months rigidity neck and Kernig's sign may be physiological phenomena. The main symptoms of meningitis, they are stress and a bulging fontanelle, restlessness and crying at the beginning of the disease, sometimes wearing character sudden sharp piercing cry, as well as "a symptom of suspension." In cases of meningitis that occur with severe dehydration and intoxication patients in the presence of thick pus on the surface of the brain convexital subarachnoid space. Changes in cerebrospinal fluid occur gradually, so in the early hours of the first day and it may remain normal or resemble his picture in the cerebrospinal fluid serous meningitis. However, even in this period is usually lleotsitoz neutrophilic in nature. Often, the first day of illness at the puncture are turbid cerebrospinal fluid.
Recently, cases of meningococcal infection without pus was 3 – 4 weeks, only occasionally observed during the abortive ending with recovery in 5-12 days, sometimes the disease took a long undulating course (2-12 months) in such cases is usually observed as phenomenon ependimatita (drowsiness, muscle rigidity is very high, a disorder of the intellect, and progressive cachexia, severe headache, CSF hypertension, vomiting, congestion nipples optic nerves). Death could occur at any stage of the disease. With lightning-fast form of epidemic meningitis death may occur in the first duck of the disease, when changes in the cerebrospinal fluid have not time to develop. In such cases, particularly strongly expressed intoxication and often develops psychomotor agitation, convulsions, coma replaceable. In the pathogenesis of fulminant forms of pain belongs to the main toxicosis. One of the immediate causes of death are acute swelling and edema of the brain, leading to wedging of the brain in the foramen magnum and the medulla oblongata mindalikami infringement of the cerebellum. Characterized by increasing bradycardia, convulsions, increased blood pressure, arrhythmia, respiratory system.
More and more students get the opportunity to study abroad. One easily forgets that this period also a health insurance in their host countries is needed. It should be noted that for the health insurance provided by the host countries often have special needs are already at the entry. Basically, who is insured as a law student in Germany, enjoys in countries with which a social security agreement, insurance cover. However, it should also in this case, additional private health insurance will be used here because the services offered in other countries for social insurance are available which can differ greatly from the services in Germany. Extrapolating from a doctor privately, contrary to the expectation of the performance, the student remains seated on the costs of medical services. At study visits in countries without a social security agreement, the student must, in addition to his private legal insurance within the country for abroadhealth insurance. During the stay must be paid contributions for both the statutory and the private health insurance. Although the liability insurance makes it possible to maintain for longer stays abroad, only a defined benefit at home, at an early return, but then there is no insurance cover in Germany! The policy for foreign countries should include the 100% owned reimbursement of expenses for the following cases: * for outpatient treatment, including medicines. * In-patient treatment. * For dental analgesic treatment and repairs to dentures * for the necessary medical repatriation. * It should also be included a transfer fee for death and birth. Insurers who waive health insurance at the completion of a health check, usually have limitations in the power sector. This must be clarified in advance essential. In particular students should be aware of limitations whenthey suffer from diabetes or severe allergies. For it is granted at all is often not covered. Students who have private health insurance, you must resolve before the trip with their insurer if there is to what extent and for what period of protection in the desired country of study. You may also privately insured with sickness students should be in addition (or in another rate their health insurance). A switch to a different private health insurers only in an extra fare is not possible. The cost of outpatient treatment abroad must first be taken even with insurance. They are replaced after submission of medical bills by insurance. For inpatient stays, the insurer shall immediately, in conjunction with the facilities and settles directly. Often the host countries also require certain protections for accidents. Such insurance can be achieved only through a private insurance, with worldwide recognition. It is particularly important that the safeguarding of recovery costs in theany amount demanded by the host country is included. Who is prepared for all eventualities can be quite safely concentrate on his studies abroad.