CLINICAL ORTHO -- MENINGEAL X 3

Question 1

CLINICAL ORTHO – MENINGEAL X 3—INFO!!

—THE PATIENT WILL PRESENT WITH: WHAT X 4??

EVALUATION OF CSF X 2
1–INCREASE IN PROTEIN =???
2-DECREASE IN GLUCOSE INDICATES =???

Answer 1

1-FEVER
2-HEADACHE
3-PHOTOPHOBIA
4-NUCHAL RIGIDITY

1–VIRAL
2-BACTERIAL

Question 2

CLINICAL ORTHO – MENINGEAL X 3

1—BRUDZINSKI SIGN –HOW??

Answer 2

INDICATIONS = MENINGITIS

PT SUPINE; PASSIVELY PUT CHIN ON CHEST; SUPINE

***WATCHING FOR BUCKLING OF KNEES!!!

Question 3

CLINICAL ORTHO – MENINGEAL X 3

2–KERNIG’S SIGN ; HOW??

Answer 3

INDICATIONS = MENINGITIS

LEG AT 90/90; DR THEN POINTS HEEL TO CEILING
IF PAIN; PATIENT WILL RESIST EXTENSION WITH KICKING

Question 4

CLINICAL ORTHO – MENINGEAL X 3

3—BIKELE’S SIGN; HOW??

Answer 4

INDICATIONS =

“WAKE UP STRETCH” “WAKE UP AND BIKE!!”
PT. ACTIVELY ABDUCTS THE SHOULDERS 90 DEGREES WITH ELBOWS FLEXED TO 90 DEGREES AND THEN EXTEND SH; NOW….THE PT EXTENDS ELBOWS;
= INCREASED PAIN = MENINGEAL IRRITATION; TOS; BRACHIAL PLEXUS NEURITIS