30 results
Kernig's and Brudzinski's Signs- Physical Exam Diagnostic Accuracy in Meningitis

#Diagnosis #PhysicalExam #Meningitis #Sensitivity #Accuracy #Kernigs #Brudzinskis
Physical Exam Diagnostic ... Accuracy in Meningitis ... #Diagnosis # ... PhysicalExam #Meningitis ... #Sensitivity #Accuracy
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
CAP, Bacterial meningitis ... Important cause of sinusitis ... Diagnosis: • Physical ... Sputum culture (Sensitivity ... in bacteremia (Sensitivity
IDSA - Conventional Criteria for the Diagnosis of Sinusitis Based on the Presence of at Least
IDSA - Conventional ... Criteria for the Diagnosis ... of Sinusitis Based ... • Fatigue #sinusitis ... #diagnosis #major
Traditionally, we have been taught to examine for Kernig’s and Brudzinski’s signs when examining patients with
with suspected meningitis ... evidence and low sensitivity ... #Diagnosis #Kernigs ... Brudzinskis #Signs #PhysicalExam ... #Meningitis
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 ... Diagnose with LP ... Meningitis suggested
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... for Meningitis ... BostonChiefs #Meningitis ... #physicalexam # ... Sensitivity #Specificity
Causes of Headache - Differential Diagnosis Algorithm
Primary: Tension, Migraine, Cluster
Extracranial: Medications, Sinusitis, TMJ disorder, Cervicogenic, Glaucoma,
- Differential Diagnosis ... : Medications, Sinusitis ... Moyamoya Infectious: Meningitis ... #Differential #Diagnosis
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
- Differential Diagnosis ... CSF has a 99% sensitivity ... , and the diagnosis ... with a diagnostic ... sensitivity and
Ascites: Physical Exam Diagnostic Accuracy

Sensitivity and Specificity: Shifting Dullness, Bulging Flanks. Fluid Wave 

Source: Joseph D.
Physical Exam Diagnostic ... Accuracy Sensitivity ... Science of Bedside Diagnosis ... #Diagnosis #PhysicalExam ... Accuracy #Testing #Sensitivity
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
Brudzinski’s Sign in Meningitis ... patients with meningitis ... to assess for meningitis ... , it has low sensitivity ... Clinical #Video #PhysicalExam