22 results
Nuchal Rigidity in Infantile Bacterial Meningitis

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

Flexion of the neck revealed nuchal rigidity. The patient was unable
Flexion of the neck ... his chin to his anterior ... the hypertonic neck ... #PhysicalExam # ... Clinical #Video #Peds
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
Diagnostic Testing ... for Meningitis ... BostonChiefs #Meningitis ... #diagnosis #testing ... #physicalexam #
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
Brudzinski’s Sign in Meningitis ... following passive neck ... Passive neck flexion ... Clinical #Video #PhysicalExam ... #Pediatrics #Peds
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
periorbital tissue (anterior ... - Impinges on ocular ... Impaired extra-ocular ... thrombosis -> Meningitis ... ophthalmology #diagnosis
Acute Dacryocystitis- A 4-week-old boy was brought to the emergency department after having drainage from both
fluctuant mass inferior ... He received a diagnosis ... the nasolacrimal sac ... , abscess, and meningitis ... clinical #photo #peds
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
Fatigue - Face/Neck ... Reflexes - Face/Neck ... ophthalmopathy ocular ... retraction and lid lag ... Symptoms #Signs #Diagnosis
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... photophobia • Meningitis ... Photophobia in viral meningitis ... glaucoma - Ocular ... #differential #diagnosis
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
only veins of neck ... below Azygos, anterior ... #Blood #Flow #physicalexam ... #diagnosis #hepatology
Lyme Disease - Diagnosis and Management Summary

Lyme Disease Epidemiology:
- Spirochete
- Reservoir: small mammals & birds
- Transmitted
Lyme Disease - Diagnosis ... Headache/stiff neck ... Meningococcal-radiculitis - Meningitis ... Pericarditis • Ocular ... Lyme Disease Diagnosis