Presentation
|Meningism present (situation)|O/E - meningism|O/E - meningism present|On examination - meningism|On examination - meningism (disorder)|On examination - meningism present|On examination - meningism present (disorder) All content of the ICD-10 CM Search [averbis.com]
[…] discomfort and/or worsening of present headaches when looking into light fever nausea and/or vomiting Kernig sign resistance and pain on passive knee extension when the hip is in a flexed position Brudziński signs Brudziński nape of neck sign (often [radiopaedia.org]
It typically presents with a recent onset of temporal headache, myalgia, malaise or fever. We report a rare case of meningism as a presenting feature of GCA. [academic.oup.com]
Entire Body System
- Falling
To make squares disappear and save space for other squares you have to assemble English words (left, right, up, down) from the falling squares. boggle Boggle gives you 3 minutes to find as many words (3 letters or more) as you can in a grid of 16 letters [translation.sensagent.com]
During his admission, he had a fall and suffered a head injury, with no loss of consciousness, no urinary incontinence and no tongue biting. Shortly after, he developed a generalised headache with no other features of raised intracranial pressure. [casereports.bmj.com]
Then I had my first sober panic attack in following fall, which set off my anxiety and panic disorder. [healthcaremagic.com]
Meningiomas are classified into three types: Grade 1 – 75% of all meningiomas fall under this category, which is characterized by the presence of benign, slow-growing tumours that may not need treatment. [docdoc.com.sg]
Differential diagnosis Mechanical neck disorders – Motor vehicle collisions – Falls – Sports injuries – Work-related injuries – Strain injury, caused by an awkward position during sleep or prolonged abnormal head-neck positions during work or recreation [slideshare.net]
- Epilepsy
[…] bifida Degenerative diseases, where nerve cells are damaged or die, such as Parkinson's disease and Alzheimer's disease Diseases of the blood vessels that supply the brain, such as stroke Injuries to the spinal cord and brain Seizure disorders, such as epilepsy [icdlist.com]
Meningitis can lead to serious long-term consequences such as deafness, epilepsy, hydrocephalus, or cognitive deficits, especially if not treated quickly. In 2013 meningitis occurred in about 16 million people worldwide. [dbpedia.org]
These conditions can even cause epilepsy. You may experience involuntary muscle spasms, visual hallucinations, confusion, or fatigue. [mountsinai.org]
BACKGROUND: Invasive monitoring with subdural electrodes (SDE) for investigation of medically intractable epilepsy may be associated with undesirable immediate postoperative morbidity such as headache, nausea, vomiting, fever, and meningism [16]. [wikigenes.org]
Epilepsy occurs long-term in 30-50%, particularly with temporal lobe abscess and subdural empyema. Anticonvulsants may be required. [patient.info]
- Sepsis
Sepsis Have a look at sepsis for some information on the condition. Though I have stated that meningococcal sepsis and meningitis are different conditions, the latter can lead to the former so you do need to be aware of sepsis with meningitis. [medrevise.co.uk]
This non-specific phase lasted for about 4 hours in younger children but as long as 8 hours in adolescents. back to top^ Sepsis symptoms The next symptoms to develop in all age groups were signs of sepsis and circulatory shut-down – limb pain, abnormal [mrfpaediatricguide.info]
BACKGROUND Serious infections in children (sepsis, meningitis, pneumonia, pyelonephritis, osteomyelitis, and cellulitis) are… Expand Subacute sclerosing panencephalitis (SSPE) is a progressive neurological disorder of childhood and early adolescence. [semanticscholar.org]
Meningococcal septicaemia is when there is overwhelming sepsis in association with meningeal irritation. Differentiating between these two different types will help us to know which antibiotics the patient needs! [rcemlearning.co.uk]
[…] and symptoms in children include: Bulging fontanelles Bones of the skull do not join fully (form sutures) until age 2 ↑ ICP → meninges protrude through gaps in skull bones Jaundice Impaired bilirubin excretion Exact mechanism unclear, associated with sepsis [pathophys.org]
- Pathologist
Tissue pathways for urological pathology The target primary users of the tissue pathway are trainee and consultant cellular pathologists. These recommendations will also be of value to trainee/qualified biomedical scientists involved in... [evidence.nhs.uk]
During surgery, samples of tumor cells are taken (biopsy) and examined by a pathologist under a microscope to confirm the tumor type and grade. Although total removal can provide a cure for meningioma, it is not always possible. [mayfieldclinic.com]
The goals of surgery are to: obtain tissue to confirm the diagnosis meningiomas are classified by pathologists into three types: Grade 1 - Benign: These very slow-growing tumors account for 75 percent of all meningiomas. [uclahealth.org]
Cerebral and meningeal inflammation were first described in detail by Willis (1685) and Morgagni (1761). [1] The Tripod sign, a sign of meningeal irritation, was first described by the American pathologist Harold Lindsay Amoss (1886-1956) from Kentucky [jpgmonline.com]
- Infectious Mononucleosis
Read about Travel Vaccination Advice Infectious Mononucleosis Infectious mononucleosis (IM) is usually a self-limiting infection, most often caused by Epstein-Barr virus (EBV). [evidence.nhs.uk]
Synonym: glandular fever Infectious mononucleosis (IM) is usually a self-limiting infection, most often caused by Epstein-Barr virus (EBV), which is a human herpes virus. [patient.info]
Respiratoric
- Pneumonia
Meningismus in Pneumonia. BMQ. 1952;3(3):70-4. PubMed PMID: 12987378. TY - JOUR T1 - Meningismus in pneumonia. [unboundmedicine.com]
[…] findings; it is more common in young Pts with systemic infections–eg, the 'flu', pneumonia [medical-dictionary.thefreedictionary.com]
There are several conditions that can be the basis of meningism, infectious disease of any severity (as exanthematous diseases, pneumonia, influenza, pyelitis, typhoid, malaria) and certain poisonings. [humanitas.net]
Predisposing factor Common pathogens Suggested regimens Comments Alcoholism or other debilitating disease S. pneumoniae, G- enteric bacilli, P. aeruginosa, L. monocytogenes ceftriaxone/ cefotaxime (+ ampicillin) USA: (+ vancomycin) Head trauma, post-neurosurgery [www1.lf1.cuni.cz]
- Sore Throat
It’s a 25 year old who has neck stiffness, and a headache, and a sore throat. The GP has sent them in as a possible meningitis patient. Where do you go from there? This is a common scenario that may fill you with dread. [rcemlearning.co.uk]
Fatigue and malaise may persist for several months after the acute infection has resolved. [ 6 ] Sore throat; tonsillar enlargement is common, classically exudative and may be massive; palatal petechiae and uvular oedema. [patient.info]
The illnesses most frequently mentioned in association with meningismus are pneumonias, streptococcal sore throat, pyelonephritis, sinusitis, influenza, typhoid fever, typhus fever, and measles. [1] It has been attributed to the disturbance in the osmotic [jpgmonline.com]
Anorexia, nausea and vomiting were relatively early features at all ages, with many children also exhibiting upper respiratory symptoms (sore throat and coryza). [mrfpaediatricguide.info]
Gastrointestinal
- Diarrhea
Two days later, he was hospitalized with fever, chills, pharyngitis, dyspnea, nonproductive cough, headache, myalgias, hemoptysis, epistaxis, diarrhea, nausea, emesis, meningismus, and a lower-extremity rash. 6, 9, 10) CNS complications in RMSF and other [medical-dictionary.thefreedictionary.com]
Other symptoms include photophobia, myalgias, nausea and vomiting, diarrhea, lethargy, and even upper respiratory symptoms (which may precede or occur concomitantly with the classic symptoms) [2]. [journalofethics.ama-assn.org]
MENINGOCOCCAL SEPTICEMIA Clinical presentation: fever, headache, neck stiffness, fatigue, vomiting, cold hand & feet, pain all over, rapid breathing, diarrhea, maculopapular rash (initially) 29. [slideshare.net]
steatorrhea and bleeding with bile acid diarrhea and vitamin B12 malabsorption commonly found due to ileal involvement. [en.wikipedia.org]
- Food Poisoning
Thirty six patients were admitted to hospital as a result of Salmonella virchow infection during an outbreak of food poisoning in Essex in 1984. [ncbi.nlm.nih.gov]
Meningismus can result from infection (usually influenza, pneumonia, measles, scarlet fever, typhus, typhoid fever), poisoning (coma, diabetes, uremia, food poisoning, occupational poisoning), brain injury after a lumbar puncture endolumbalno introduction [medicalency.com]
Meningismus can be caused due to infection ( influenza, pneumonia, typhus, HIV infection, measles, scarlet fever, typhoid fever, tick-borne encephalitides), poisoning (food poisoning, occupational poisoning), and brain injury after a lumbar puncture. [xpertdox.com]
- Projectile Vomiting
They included projectile vomiting and a great many other symptoms of meningismus. [homeoint.org]
Musculoskeletal
- Neck Pain
So what is your approach for patient with neck pain? Is it just a sprain or something serious? Know the red flags of neck pain, and learn to examine neck systematically. 1. [slideshare.net]
Then, neck MRI was performed for the exploration of neck pain and stiffness. [thejournalofheadacheandpain.springeropen.com]
* Assess for nuchal rigidity (neck pain and resistance to flexion), which may signal meningeal inflammation or a mechanical problem. Figure. [black left pointing small triangle] Place one of your palms behind his head and the other on his chest. [nursingcenter.com]
In its most serious and clearly recognisable form it leads to multiple symptoms most commonly affecting the head and neck (but potentially anywhere in the body) most notably headache, neck pain, nausea, vomiting and a characteristic retraction of the [ccst.co.uk]
Pain: 1 person, 100.00% Nausea And Vomiting: 1 person, 100.00% Nausea (feeling of having an urge to vomit): 1 person, 100.00% Nasopharyngitis (inflammation of the nasopharynx): 1 person, 100.00% Headache (pain in head): 1 person, 100.00% * Approximation [ehealthme.com]
- Morning Stiffness
Methods: A 66 year old male, with a history of chronic obstructive pulmonary disease, hypertension and osteoarthritis, presented with a headache on the top of his head, pain along the neck and shoulders and significant morning stiffness. [academic.oup.com]
Urogenital
- Kidney Failure
The following diseases may be associated with meningism are the following: Acetonemia Kidney failure Intoxication Exanthematous diseases Malaria Pyelitis Pneumonia Anger Septic shock Typhus Remember that this is not an exhaustive list and it is highly [humanitas.net]
The longer you or your child has the disease without treatment, the greater the risk of seizures and permanent neurological damage, including: Hearing loss Memory difficulty Learning disabilities Brain damage Gait problems Seizures Kidney failure Shock [mayoclinic.org]
Neurologic
- Headache
It may also be caused by infection with a bacterium, virus, or fungus A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges The symptoms of neck stiffness, headache, and photophobia resulting [icd9data.com]
[…] is (pathology) inflammation of the meninges, characterized by headache, neck stiffness and photophobia and also fever, chills, vomiting and myalgia. [wikidiff.com]
Chronic headaches are defined as headaches lasting for more than 15 days per month over a 3 month period.There are two common types of chronic headaches that affect children and they are tension-type and migraine headaches. [manipalblog.com]
What causes these headaches? Chronic headaches in children, we are now discovering, are mainly caused by meningismus, rather than by any other cause. [thefashionablehousewife.com]
- Neck Stiffness
It may also be caused by infection with a bacterium, virus, or fungus A disorder characterized by neck stiffness, headache, and photophobia resulting from irritation of the cerebral meninges The symptoms of neck stiffness, headache, and photophobia resulting [icd9data.com]
[…] is (pathology) inflammation of the meninges, characterized by headache, neck stiffness and photophobia and also fever, chills, vomiting and myalgia. [wikidiff.com]
Meningism involves the triad (3-symptom syndrome) of nuchal rigidity (neck stiffness), photophobia (intolerance of bright light), and headache. [askdifference.com]
- Kernig's Sign
Related clinical signs include Kernig's sign and three signs all named Brudzinski's sign. [en.wikipedia.org]
- Seizure
Click export CSV or RIS to download the entire page or use the checkboxes to select a subset of records to download Febrile Convulsions Synonyms: febrile seizure, febrile fit Febrile convulsions are seizures (fits or convulsions) occurring in children [evidence.nhs.uk]
Other presentations include seizures and hydrocephalus. Neuroimaging is important in patients presenting with headache and signs of meningism. [casereports.bmj.com]
Seizures Inflammation in the brain alters membrane permeability, lowering the seizure threshold. Exact seizure pathophysiology is unknown. [pathophys.org]
Seek emergency care if you have: Sudden onset of seizures Sudden changes in your vision or memory Make an appointment to see your doctor if you have persistent signs and symptoms that concern you, such as headaches that worsen over time. [mayoclinic.org]
PATIENTS AND METHODS: We enrolled patients aged 12 years or more, admitted with acute encephalitis syndrome (fever, headache, altered mental status, vomiting, seizures, neurodeficit) to a rural teaching hospital. [ncbi.nlm.nih.gov]
- Lethargy
PAM affects immunologically intact children and young adults, usually with a history of swimming in warm freshwater five to seven days prior to onset of febrile meningismus mimicking bacterial meningitis. vertigo, confusion, disorientation, amnesia, lethargy [medical-dictionary.thefreedictionary.com]
After cessation of the convulsion, we re-examined the child and did not find any signs of meningism except extreme lethargy. There was no meningism or clear focal neurological deficit, so lumbar puncture was not performed. [freethesaurus.com]
After the age of 3 months, the child may display symptoms more often associated with bacterial meningitis, with fever, vomiting, irritability, lethargy, or any change in behavior. [emedicine.medscape.com]
Other symptoms include photophobia, myalgias, nausea and vomiting, diarrhea, lethargy, and even upper respiratory symptoms (which may precede or occur concomitantly with the classic symptoms) [2]. [journalofethics.ama-assn.org]
Febrile illness 1- 4 wks before onset of symptoms Lethargy/irritability to coma, associated with multiple neurological deficits inc pyramidal signs, optic neuritis, hemiplegia, ataxia Dx clinical suspicion. [rch.org.au]
Workup
Young infants commonly require lumbar puncture as a part of the routine workup for fever without a source, as they have a much higher risk of meningitis than older persons and do not reliably show signs of meningeal irritation ( meningismus ). [diki.pl]
Subsequent workup revealed a HIV-1 viral load of 239,000 and a CD4 lymphocyte count of 59/mm 3. Over the course of his admission, blood cultures grew Streptococcus alactolyticus, which was sensitive to ceftriaxone, so vancomycin was discontinued. [practicalneurology.com]
Microbiology
- Streptococcus Pneumoniae
(less common now with the advent of the HiB vaccination) Streptococcus pneumoniae Neisseria meningitidis (these two organisms cause 80% of cases) Streptococcus pneumoniae Neisseria meningitidis Listeria monocytogenes If no organism can be isolated with [pathophys.org]
Coli and other coliforms Group B Strep Listeria Monocytogenes 3 months – 6 years Nisseria Meningitidis aka meninigococcus Streptococcus Pneumoniae Haemaphilus Influenzae 6 Years+ Nisseria Meningitidis Streptococcus Pneumoniae …and also with location. [almostadoctor.co.uk]
This is the most common cause Streptococcus pneumoniae (or pneumococcus): all except neonates Group B streptococci : newborns Listeria monocytogenes : those with poor immune systems i.e. newborns and the immunocompromised. [medrevise.co.uk]
Burden of disease caused by Streptococcus pneumoniae in children younger than 5 years: global estimates. Lancet. 2009 Sep 12. 374(9693):893-902. [Medline]. Watt JP, Wolfson LJ, O'Brien KL, Henkle E, Deloria-Knoll M, McCall N, et al. [emedicine.medscape.com]
Several strains of bacteria can cause acute bacterial meningitis, most commonly: Streptococcus pneumoniae (pneumococcus). This bacterium is the most common cause of bacterial meningitis in infants, young children and adults in the United States. [mayoclinic.org]
Treatment
Treatments and pathologies linked to “meningism” Associated treatments Apis Mellifica Bryonia Alba Associated pathologies Headaches Vomiting Good to know : Traditional analgesics only have a limited effect on intense headaches which is why, in such cases [homeopathyguide.net]
The Dictionary is not a handbook for treatment of neurological disorders. While many entries provide the latest treatment options, up-to-the-minute therapies are not discussed in bedside level detail. [books.google.ro]
More treatment-centered approach helps you focus on the therapeutic process—from diagnostic evaluation and testing to treatment selection. [books.google.it]
See https://www.xpertdox.com/ for more information and to learn more about treatment options. You may also be interested in.... [queenofreviews.com]
Prognosis
The prognosis depends on early diagnosis and treatment. [tandfonline.com]
We also include a review of the relevant literature including the implications for HIV status on the patient’s prognosis. [practicalneurology.com]
Meningismus, in general, comes with a positive prognosis. Most patients, including young children, will recover from the underlying cause and get better. For the best results, immediate treatment is recommended above all else. [queenofreviews.com]
Prognosis [ 8 ] Mortality ranges between 17% and 32%. Poor prognosis is reported in patients who are immunocompromised, have diabetes mellitus or cirrhosis and presentation with a low Glasgow Coma Score. [patient.info]
In this section: Definition | Symptoms | Diagnosis | Treatment | Prognosis MRI image showing a typical meningioma tumor A meningioma is a tumor that arises from a layer of tissue (the meninges) that covers the brain and spine. [uclahealth.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
Skip to content Note Templates Billing Codes SGH History + Physical Etiology Ethylene Glycol Intoxication (see Ethylene Glycol, [[Ethylene Glycol]]) Meningitis (see Meningitis, [[Meningitis]]) xxx xx References xxx [mdnxs.com]
It is critical to distinguish between bacterial and viral etiologies because the course of bacterial meningitis is rapid and potentially deadly. [journalofethics.ama-assn.org]
Brudzinski's sign occurs in meningitis (of any etiology) where passive flexion of a patient's neck elicits reflexive bilateral knee and hip flexion; it was originally known as the "nape of the neck sign" and was one of several physical exam maneuvers [radiopaedia.org]
Infectious causes can be bacterial, viral, fungal, or parasitic While the etiology is usually infectious, ultimately it is the inflammatory changes in the CNS that cause morbidity and mortality Etiology Lancet 2003; 361: 2139–48. [pathophys.org]
Epidemiology
This review highlights current knowledge of meningioma epidemiology and new directions for research efforts in this field. [ncbi.nlm.nih.gov]
[…] p673) Allowable Qualifiers English: BL blood CF cerebrospinal fluid CI chemically induced CL classification CO complications CN congenital DI diagnosis DG diagnostic imaging DH diet therapy DT drug therapy EC economics EM embryology EN enzymology EP epidemiology [decs.bvs.br]
He has since completed further training in emergency medicine, clinical toxicology, clinical epidemiology and health professional education. [lifeinthefastlane.com]
The foundation supports cutting-edge research in all areas related to primary brain tumors, from developing and testing new treatments, epidemiological studies, improvements in patient care, and basic research. [braintumor.org]
Pathophysiology
Its pathophysiology is related to T-cell-mediated autoimmune processes directed against one or more antigenic components of melanocytes. [panafrican-med-journal.com]
Internal Medicine (325) Paediatrics, Neonatology (280) Pathology and Forensic Medicine (277) Neurology (159) Physiology and Pathophysiology (154) Infectology (154) Surgery, Traumatology and Orthopaedics (146) Medical Chemistry and Biochemistry (115) Microbiology [portal.mefanet.cz]
Exact seizure pathophysiology is unknown. [pathophys.org]
Pathophysiology There are a variety of pathogens which cause bacterial meningitis. Also listed are the age groups in which the organism is common: Neisseria meningitidis (or meningococcus): all age groups except neonates. [medrevise.co.uk]
Prevention
Prevention of bacterial endocarditis. [books.google.it]
Now, flex the patient’s head with the hand behind the head, while your hand on chest restrains the patient and prevents him/her from rising The sign is positive if the patient flexes hips and knees. [epomedicine.com]
Healthcare personnel and patients alike should be advised of this risk as well as measures to prevent its occurrence. [practicalneurology.com]
Prevention Common bacteria or viruses that can cause meningitis can spread through coughing, sneezing, kissing, or sharing eating utensils, a toothbrush or a cigarette. These steps can help prevent meningitis: Wash your hands. [mayoclinic.org]
Prompt diagnosis and treatment of meningitis is important to prevent further complications. [healthline.com]