Episode 269: Neurology VMR – Headache and altered mental status
The Clinical Problem Solvers
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Meningitis
Kurnig and Brzezinski signs are something like 5% sensitive, even though they're very highly specific. If you work in a high resource place where people can get to the clinic emergency room or hospital within a day of their symptoms with bacterial meningitis, they might not have developed these symptoms yet. But if you work in places where it takes people a long time to come to the hospital due to difficult access to a healthcare facility, oh, you see a lot of Kurnig andBrzezinski signs actually because patients are coming with very advanced disease.
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