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Brudziński's sign or a Brudziński sign is any of three medical signs, all of which may occur in meningitis or meningism. All three are named after Józef Brudziński . [ 1 ] In English, the name is often written without the diacritic (like many borrowed words) (Brudzinski) and is pronounced / b r uː ˈ dʒ ɪ n s k i / .
Kernig's sign: Woldemar Kernig: neurology: meningism, meningitis, subarachnoid haemorrhage: synd/2200 at Whonamedit? hip and knee fully flexed, extension of knee elicits pain and/or opisthotonus Kocher's sign: Emil Theodor Kocher: ophthalmology, endocrinology: Hyperthyroidism, Basedow's disease,
Although Kernig's sign and Brudzinski's sign are both commonly used to screen for meningitis, the sensitivity of these tests is limited. [17] [20] They do, however, have very good specificity for meningitis: the signs rarely occur in other diseases. [17] Another test, known as the "jolt accentuation maneuver" helps determine whether meningitis ...
Meningism is a set of symptoms similar to those of meningitis but not caused by meningitis. [1] [3] [4] Whereas meningitis is inflammation of the meninges (membranes that cover the central nervous system), meningism is caused by nonmeningitic irritation of the meninges, usually associated with acute febrile illness, [1] [2] especially in children and adolescents. [2]
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 ]
Woldemar Kernig was born in St. Petersburg in 1840 to a bookbinder of German origin, Benjamin Mikhail Kernig (1788-1862) and his spouse Wilhelmina Elizaveta (née Person). He received his early education at St. Peter's School from 1852 to 1856.
Brudziński's neck sign: With the patient lying on his back and the neck is bent forward, reflective flexion of the knees take place. Brudziński's symphyseal sign: Pressure over symphysis pubis leads to knee, hip flexion and leg abduction. Brudziński's cheek phenomenon: Pressure beneath the zygomatic bone leads to flexion of the forearm.
In contrast, a test with very high sensitivity rarely misses a condition, so a negative result should be reassuring (the disease tested for is absent). A sign or symptom with very high sensitivity is often termed sine qua non. An example of such test is a genetic test to find an underlying mutation in certain types of hereditary colon cancer ...