13 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
Brudzinski’s Sign in Meningitis (first described in 19th century by Dr. Josef Brudzinski)

Brudzinski's sign is characterized
in Meningitis ( ... following passive neck ... Passive neck flexion ... #Video #PhysicalExam ... #Pediatrics #Peds
Diagnostic Testing for Meningitis
History:
 • Triad: Fever, neck stiffness, and altered mental status
 • Sens: 44%
for Meningitis ... Non-specific Kernig Sign ... 95% Brudzinski Sign ... BostonChiefs #Meningitis ... #physicalexam #
Orbital Cellulitis: Pathogenesis and Clinical Findings
Definitions:
a. Chemosis: Edema of the bulbar conjunctiva
b. Panopthalmitis: inflammation of all
periorbital tissue (anterior ... Impaired extra-ocular ... thrombosis -> Meningitis ... ophthalmology #diagnosis ... #signs #symptoms
Hypothyroidism and Hyperthyroidism - Symptoms and Signs
Hypothyroidism:
 - General - From asymptomatic to myxedema coma, “Like
- Symptoms and Signs ... Fatigue - Face/Neck ... Reflexes - Face/Neck ... ophthalmopathy ocular ... #Diagnosis #endocrinology
Photophobia and Headache - Differential Diagnosis Framework

Why?
• The coexistence of photophobia and headache suggests the potential
- Differential Diagnosis ... photophobia • Meningitis ... meningeal irritation signs ... glaucoma - Ocular ... #differential #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
Mastoiditis: Pathogenesis and clinical findings

Acute or Chronic Otitis Media -> 
Stage 1: Hyperemeia of the mastoid
postauricular crease • Inferior ... Bezold abscess (Neck ... cortical bone -> Meningitis ... pathophysiology #signs ... #symptoms #diagnosis
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Ocular- 50%: Ptosis ... Neck: “dropping ... myasthenia Diagnosis ... test - Cogan sign ... - Peek sign