Brain abscess physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
==Physical Examination== | ==Physical Examination==<ref>Brouwer, MC; Coutinho, JM; van de Beek, D (Mar 4, 2014). "Clinical characteristics and outcome of brain abscess: systematic review and meta-analysis.". Neurology 82 (9): 806–13. doi:10.1212/WNL.0000000000000172. PMID 24477107</ref> | ||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
*[[Fatigue]] | *[[Fatigue]] | ||
Revision as of 18:08, 30 October 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
==Physical Examination==[1]
Appearance of the patient
- Fatigue
- Drowsiness
- Speech difficulties
Vital signs
- Dysarthria
- Fevers
- Headache
- Most common complaint, seen in greater than 75% of patients
Neck
- Stiffness in neck (in occasional cases)
Neuromuscular
- Altered mental status
- Hemiparesis
- Approximately 30-50% of patients will have focal neurological deficits
- Eventual coma
- Aphasia
- Ataxia
- Signs of increased ICP (N/V, lethargy etc.)
- This is an indication for immediate intervention.
References
- ↑ Brouwer, MC; Coutinho, JM; van de Beek, D (Mar 4, 2014). "Clinical characteristics and outcome of brain abscess: systematic review and meta-analysis.". Neurology 82 (9): 806–13. doi:10.1212/WNL.0000000000000172. PMID 24477107