7 results
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
Nuchal Rigidity ... Infantile Bacterial Meningitis ... #Rigidity #Meningitis ... #PhysicalExam # ... Clinical #Video #Peds
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
Nuchal Rigidity ... Infantile Bacterial Meningitis ... neck revealed nuchal ... #Meningitis #PhysicalExam ... Clinical #Video #Peds
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... for Meningitis ... 5%; Spec: 95% Nuchal ... #diagnosis #testing ... #physicalexam #
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
Pneumonia and sinusitis ... Sinusitis uncommon ... rales on exam 3) Meningitis ... Meningitis suggested ... #Peds #EM #Classification
Traditionally, we have been taught to examine for Kernig’s and Brudzinski’s signs when examining patients with
with suspected meningitis ... they do recommend testing ... #Diagnosis #Kernigs ... Brudzinskis #Signs #PhysicalExam ... #Meningitis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
pulmonary, systemic or meningitic ... Urinary antigen testing ... Pulmonary (60%) • Sinusitis ... infection (~40%) • Meningitis ... Invasive Disease: • Meningitis
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
a late sign of meningitis ... When the diagnosis ... Newborn #Infant #PhysicalExam ... #Examination #Peds ... #Pediatrics #Diagnosis