Clinical manifestations o Common features of meningitis signs of systemic infection: fever(90-95%), anorexia, shock. alteration of mental status and consciousness e neurological signs k increased intracranial pressure: headache, vomiting (82%), herniation meningeal irritation: nuchal rigidity (77%) kernig sign, brudzinski sign
Common features of meningitis: • signs of systemic infection : fever(90-95%), anorexia,shock, alteration of mental status and consciousness • neurological signs: increased intracranial pressure: headache, vomiting(82%), herniation meningeal irritation: nuchal rigidity(77%), kernig sign, brudzinski sign Clinical manifestations
的 ki's sign. with the patient supine and the examiners hand on the patient's chest, passive neck which is often asymmetric. The sign is present with meningeal irritation from disorders such as infectious meningitis or subarachnoid hemorrhage brudzinski sign
brudzinski sign
Clinical manifestations k Seizure(20-30%) → Focal or generalized Due to cerebritis, infarction, electrolyte disturbances Frequently noted with H influenzae S pneumococcal meningitis o Persist after 4th day and difficult to treat with poor prognosIs
Seizure (20-30%) Focal or generalized Due to cerebritis, infarction, electrolyte disturbances Frequently noted with H influenzae & S pneumococcal meningitis Persist after 4th day and difficult to treat with poor prognosis Clinical manifestations
Clinical manifestations k Alteration of mental status and consciousness >>Including: irritability, lethargy, stupor obtundation coma Due to increased intracranial pressure cerebritis, hypotension Often with pneumococcal or meningococcal meningitis Comatose patients with a poor prognosis
Clinical manifestations Alteration of mental status and consciousness Including: irritability, lethargy, stupor obtundation, coma Due to increased intracranial pressure, cerebritis, hypotension Often with pneumococcal or meningococcal meningitis Comatose patients with a poor prognosis