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Meningitis Assessment

Recall meningitis assessment by the men-in-tights being observed by the assess-man as they put on a puppet show. Assessment findings for this condition include&nbsp;nausea and vomiting, shown by the vomiting fever-beaver, which represents fever, another symptom that patients often experience. Nuchal rigidity, shown by the brass-knuckles punching the stone-neck is another key sign of meningitis and may present with a positive Kernig&rsquo;s or Brudzinski&rsquo;s sign. This is causing the cat to experience a&nbsp;severe headache, shown by the head-egg-lump, which is another common symptom.&nbsp;Purpura, depicted by the purple-cat, is a dark purple rash that can occur on the skin in those with meningococcal infection in the bloodstream. This is an emergency and should be treated immediately. Photophobia, shown by being afraid-of-light is another possible symptom, as well as seizures, shown by Caesar, due to irritation of the cerebral cortex or a high fever that goes untreated. Infants and young children often present with their own symptoms including the opisthotonus position, shown by the severe hyperextension of the pistol-body, and a&nbsp;high pitched cry, shown by the crying baby. Upon assessment, one may also notice a bulging fontanelle, shown by the bulging fountain.&nbsp; So to review, meningitis assessment findings include nausea and vomiting, fever, nuchal rigidity, severe headache, purpura, photophobia, and seizures. Infants and young children may present with the opisthotonus position, a high pitched cry, and bulging fontanelle.&nbsp;

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Peds ID Review

Brain Inflammation

Common Causes of Meningitis Infographic

Meningitis

Meningitis and Encephalitis: Examination

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Vomiting

Nausea and Vomiting

During your assessment of a patient with meningitis which of the following is most likely to be seen?

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Fever-Beaver

Fever

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Brass-knuckles punching Stone-neck

Nuchal Rigidity

head egg lump.png

Head-egg-lump

Severe Headache

purple cat.png

Purple-cat

Purpura

During your assessment of a patient with meningococcemia which of the following is most likely to be seen?

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Caesar

Seizures

afraid of light.png

Afraid-of-light

Photophobia

Infants and Young Children

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Severe hyperextension of Pistol-body

Opisthotonus Position

During your assessment of an infant with meningitis which of the following is most likely to be seen?

crying baby.png

Crying baby

High Pitched Cry

bulging fountain.png

Bulging Fountain

Bulging Fontanel

Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition

Family Nurse Practitioner Certification Intensive Review 2nd Edition, Leik

First Aid for the USMLE Step 2 CK, 9th Ed

Hockenberry, Wong's Nursing Care of Infants and Children, 10th Ed.

Ignatavicius Medical-Surgical Nursing, 9th Edition

Master The Boards USMLE Step 2 CK, 3E

Medical-Surgical Nursing, 10th Ed, Lewis, Dirksen, Heitkemper, & Bucher

Medical-Surgical Nursing, 9th Ed, Lewis, Dirksen, Heitkemper, & Bucher

NP - Certification Examination and Practice Preparation 4th Edition, Fitzgerald

PANCE Prep Pearls: 1st Ed, 2014

PANCE Prep Pearls: 2nd Ed, 2017

PATHOMA: Fundamentals of Pathology, Medical Course and Step 1 Review

STEP-UP to USMLE Step 2 CK, 4th Ed

It was a fine day at the puppet show theater until those pesky Men-in-tights arrived with that Assess-man. They turned the puppet show into a boxing arena. I don&rsquo;t know what was worse, that Vomiting Fever-Beaver puppet that set the theater on fire. Or that other puppet that was wearing Brass-knuckles and punching his Stone-neck, you know that puppet that usually looks like a sweet Purple-cat?&nbsp; On top of all that, Caesar was in charge of lighting the show with his lamp but instead he shines it directly on a kid in the audience. Doesn&rsquo;t he know that kid is Afraid-of-light? That poor child, he has Severe hyperextension of his Pistol-body and he is such a Cry baby! Well I guess I would be to if I had a Bulging Fountain in my head.&nbsp;

Pain limits passive extension of the knee when lying supine with the hip and knee flexed at 90 degrees.

Arms are stiffly extended, adducted, and hyperpronated with plantar flexion of feet.

Flexion at the hip elicits severe back pain.

Flexion of the neck causes involuntary flexion of the knee and hip.

Picmonic uses mnemonics to help you develop NCLEX mastery so you can pass the NCLEX exam the first time. Free question for 04/2021/27

Picmonic NCLEX Question of the Day 04/2021/27

Picmonic NCLEX® Question of the Day

A 6-year-old boy is in the ER presenting with nausea and vomiting. His father reported that the boy has been having seizures. During the assessment, the nurse notes purpura and a positive Brudzinski's sign. What would indicate a positive Brudzinski's sign?

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