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

#Diagnosis #PhysicalExam #Meningitis #Sensitivity #Accuracy #Kernigs #Brudzinskis
Kernig's and Brudzinski's ... Sensitivity #Accuracy #Kernigs ... Brudzinskis #Signs #Jolt
Traditionally, we have been taught to examine for Kernig’s and Brudzinski’s signs when examining patients with
to examine for Kernig ... ’s and Brudzinski ... supporting evidence and ... recommend testing for jolt ... #Diagnosis #Kernigs
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
neck stiffness, and ... : Non-specific Kernig ... Passively flex neck and ... 30%; Spec: 70% Jolt
Small and Large Bowel Obstruction - Differential (DISTEND HIM)

Diverticulitis 
Inflammatory bowel disease (Crohn’s, UC) 
Surgery (adhesions)
Small and Large ... gallstones Hernias ... #Differential #Causes
Sebaceous hyperplasia 
 - Yellow papule 
 - Donut-shape 
 - Central umbilication 
 - Telangiectasia
Usually multiple - Causes ... actinic damage and ... Benign #Clinical #Photo
Rare Causes of Abdominal Pain
 • Hereditary Angioneurotic Edema - Recurrent visceral that may by swelling
Rare Causes of Abdominal ... persons pain. nausea ... musculoskeletal symptoms • Hernias ... to incisional hernias ... radicular pain #Rare #Causes
Hand, Foot, and Mouth Disease: A febrile illness (caused by Coxsackie Virus) associated vesicle formation on
Hand, Foot, and ... febrile illness (caused ... formation on the hands ... , feet, and mouth ... Vesicle #UCSDH #Photo
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
this patient's hand ... endocarditis, in this case ... Photo credit, Josh ... Images #Clinical #Photo
Prepatellar Bursitis: Extensive redness and swelling caused by bacterial infection involving pre patellar bursae.

Charlie Goldberg, M.D.
Extensive redness and ... swelling caused ... Images #Clinical #Photo
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... (Panel A), and ... dorsum of the hand ... vulnificus can cause ... #clinical #photo