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3 sty 2024 · Kernig’s sign is a physical maneuver used to evaluate an individual for a suspected case of meningitis, a condition characterized by inflammation of the membranes (i.e., meninges) that surround the brain and spinal cord.
27 gru 2022 · Kernig sign is a bedside physical exam maneuver used since its description in the 19th century to help diagnose meningitis. A positive test is the elicitation of pain or resistance with passive extension of the patient’s knees past 135 degrees in the setting of meningeal irritation.
Kernig's sign is a test used in physical examination to look for evidence of irritation of the meninges. The test involves flexing the thighs at the hip, and the knees, at 90 degree angles, and assessing whether subsequent extension of the knee is painful (leading to resistance), in which case it is deemed positive. [1]
8 wrz 2023 · Kernig’s sign refers to an inability to extend the knees past a right angle without pain. It may occur in some, but not all, people with meningitis. Meningitis can be life threatening and...
To test for Kernig’s sign, the patients are positioned supine with their hips flexed to 90°. Kernig’s sign is present if there is pain on passive knee extension. To elicit Brudzinski’s sign, the patients lie supine and their necks are passively flexed by the examining clinician.
28 kwi 2020 · Meningitis: inflammation of meninges covering brain/spinal cord; viral more common, treat as bacterial until proven otherwise due to high mortality. Aetiology : bacterial, viral, fungal, non-infective (e.g. cancer, autoimmune, drugs).
The high specificity suggests that if Kernig’s or Brudzinski’s sign is present, there is a high likelihood for meningitis. In Kernig’s original description of his sign in advanced cases of meningitis, pain may be elicited at angles of extension less than 90°, suggesting that the sensitivity of the sign may vary proportionately with ...