A 44-year-old male presents to the emergency room with the “…
A 44-year-old male presents to the emergency room with the “worst headache of his life.” He is holding his head and appears severely distressed. This is a patient symptom that should prompt a clinician to look for signs of a:
Read DetailsAn 18-year-old college freshman presents to the emergency ro…
An 18-year-old college freshman presents to the emergency room for evaluation of fever, headache, and neck stiffness. On physical examination, the patient is resting quietly and has a flushed face. His vital signs are as follows; temperature, 104 F; pulse 110 bpm; and BP, 105/70 mm Hg. He has no rashes. During the physical examination, you flex the patient’s neck and his hips and knees flex in response, indicating meningeal irritation. The name of the positive sign is?
Read DetailsA 25-year-old female presents to the clinic for evaluation o…
A 25-year-old female presents to the clinic for evaluation of flank pain, dysuria, nausea, and fever. A urine pregnancy test is negative. A urine dipstick is positive for leukocyte esterase. On physical examination, which of the following signs would you expect to be positive?
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