Brudzinski’s Sign: Difference between revisions
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== Description == | == Description == | ||
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== Purpose == | == Purpose == | ||
Indicates meningeal irritation.<ref>Introduction to Emergency Medicine edited by Elizabeth Mitchell, Ron Medzon. Lippincott Williams & Wilkins, 2005</ref> <br> | Indicates meningeal irritation.<ref>Introduction to Emergency Medicine edited by Elizabeth Mitchell, Ron Medzon. Lippincott Williams &amp; Wilkins, 2005</ref> <br> | ||
== Technique<ref>O'Connor, Simon; Talley, Nicholas Joseph (2001). Clinical Examination: A Systematic Guide to Physical Diagnosis. Cambridge, MA: Blackwell Publishers.</ref><ref>Brunner & Suddarth's Textbook of Medical-surgical Nursing, Volume 1. edited by Suzanne C. O'Connell Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever. Lippincott Williams & Wilkins, 2010</ref> == | == Technique<ref>O'Connor, Simon; Talley, Nicholas Joseph (2001). Clinical Examination: A Systematic Guide to Physical Diagnosis. Cambridge, MA: Blackwell Publishers.</ref><ref>Brunner &amp; Suddarth's Textbook of Medical-surgical Nursing, Volume 1. edited by Suzanne C. O'Connell Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever. Lippincott Williams &amp; Wilkins, 2010</ref> == | ||
• Patient lies supine<br>• Flex neck, bringing chin to chest<br>• Positive sign is involuntary flexing of hips. <br><br> | • Patient lies supine<br>• Flex neck, bringing chin to chest<br>• Positive sign is involuntary flexing of hips. <br><br> | ||
Revision as of 10:08, 8 May 2014
Original Editor Oyemi Sillo
Top Contributors - Sweta Christian, Oyemi Sillo, Kim Jackson, Anas Mohamed, 127.0.0.1, Admin, Evan Thomas and WikiSysop
Description[edit | edit source]
Brudzinski's sign is one of the physically demonstrable symptoms of meningitis. Severe neck stiffness causes a patient's hips and knees to flex when the neck is flexed.[1]
Purpose[edit | edit source]
Indicates meningeal irritation.[2]
Technique[3][4][edit | edit source]
• Patient lies supine
• Flex neck, bringing chin to chest
• Positive sign is involuntary flexing of hips.
Evidence[5][edit | edit source]
Sensitivity: 5; Specificity: 95; Positive likelihood ratio: 0.97; Negative likelihood ratio: 1.0
See test diagnostics page for explanation of statistics.
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
- ↑ http://www.nlm.nih.gov/medlineplus/ency/imagepages/19069.htm
- ↑ Introduction to Emergency Medicine edited by Elizabeth Mitchell, Ron Medzon. Lippincott Williams & Wilkins, 2005
- ↑ O'Connor, Simon; Talley, Nicholas Joseph (2001). Clinical Examination: A Systematic Guide to Physical Diagnosis. Cambridge, MA: Blackwell Publishers.
- ↑ Brunner & Suddarth's Textbook of Medical-surgical Nursing, Volume 1. edited by Suzanne C. O'Connell Smeltzer, Brenda G. Bare, Janice L. Hinkle, Kerry H. Cheever. Lippincott Williams & Wilkins, 2010
- ↑ Karen E. Thomas, Rodrigo Hasbun, James Jekel, Vincent J. Quagliarello. The Diagnostic Accuracy of Kernig's Sign, Brudzinski's Sign, and Nuchal Rigidity in Adults with Suspected Meningitis. Clin Infect Dis. (2002) 35 (1): 46-52.
