Bacterial meningitis physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical examination== | ==Physical examination== | ||
===Adults=== | |||
The physical examination findings in adults may include the following: | |||
====General appearance==== | |||
*Patient may look distressed | |||
*Altered mental status-not oriented in time, place and person | |||
====Vital signs==== | |||
*Bradycardia may indicate increased intracranial pressure | |||
*Increased or decreased temperature | |||
====HEENT==== | |||
*Signs of infection indicating sinusitis, mastoiditis, and otitis media may help identify the source of infection and give a clue about diagnosis. | |||
*Papilledema may indicate increased intracranial pressure. | |||
*Neck stiffness is strongly suggestive of meningitis. | |||
====CVS==== | |||
*Decreased heart rate indicates increased intracranial pressure | |||
====CNS==== | |||
*Signs of neurological deficit may not be present. | |||
* | |||
====Skin==== | |||
*Presence of skin rash may indicate Neisseria meningitides infection | |||
===Infants=== | |||
*Neck stiffenss | |||
*Altered mental status | |||
*Bulging fontanelle | |||
*Convulsions | |||
==References== | ==References== |
Revision as of 14:52, 9 January 2017
Bacterial meningitis Microchapters |
Diagnosis |
Treatment |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Aysha Anwar, M.B.B.S[2]
Overview
Physical examination
Adults
The physical examination findings in adults may include the following:
General appearance
- Patient may look distressed
- Altered mental status-not oriented in time, place and person
Vital signs
- Bradycardia may indicate increased intracranial pressure
- Increased or decreased temperature
HEENT
- Signs of infection indicating sinusitis, mastoiditis, and otitis media may help identify the source of infection and give a clue about diagnosis.
- Papilledema may indicate increased intracranial pressure.
- Neck stiffness is strongly suggestive of meningitis.
CVS
- Decreased heart rate indicates increased intracranial pressure
CNS
- Signs of neurological deficit may not be present.
Skin
- Presence of skin rash may indicate Neisseria meningitides infection
Infants
- Neck stiffenss
- Altered mental status
- Bulging fontanelle
- Convulsions