Brain abscess physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
* The patient generally appears healthy, though may show signs of fatigue, drowsiness, or have speech difficulties. | * The patient generally appears healthy, though may show signs of fatigue, drowsiness, or have speech difficulties.<ref name="urlBrain Abscess | Columbia Neurosurgery">{{cite web |url=http://www.columbianeurosurgery.org/conditions/brain-abscess/ |title=Brain Abscess | Columbia Neurosurgery |format= |work= |accessdate=}}</ref> | ||
===Vital signs=== | ===Vital signs=== |
Revision as of 19:29, 30 October 2015
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Patients with brain abscess generally appear healthy. Most findings are neuromuscular in nature.
Physical Examination
Appearance of the patient
- The patient generally appears healthy, though may show signs of fatigue, drowsiness, or have speech difficulties.[1]
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.