Brain abscess physical examination: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{CMG}} | {{CMG}}; {{AE}} {{FH}} | ||
{{Brain abscess}} | {{Brain abscess}} | ||
==Overview== | ==Overview== | ||
Patients with brain abscess generally appear healthy. Most findings are neuromuscular in nature. | |||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the patient=== | |||
* The patient generally appears healthy, though may show signs of fatigue, drowsiness, or have speech difficulties.<ref name="urlBrain Abscess | Columbia Neurosurgery">{{cite web |url=http://www.columbianeurosurgery.org/conditions/brain-abscess/ |title=Brain Abscess | Columbia Neurosurgery |format= |work= |Accessed on October 30, 2015=}}</ref> | |||
===Vital signs=== | |||
*[[Dysarthria]] | |||
*[[Fevers]] | |||
*[[Headache]] | *[[Headache]] | ||
**Most common complaint, seen in greater than 75% of patients | **Most common complaint, seen in greater than 75% of patients | ||
* | |||
===Neck=== | |||
*[[ | * Stiffness in neck (in occasional cases) | ||
===Neuromuscular=== | |||
*[[Altered mental status]] | |||
*[[Hemiparesis]] | *[[Hemiparesis]] | ||
** Approximately 30-50% of patients will have focal neurological deficits | ** Approximately 30-50% of patients will have focal neurological deficits | ||
* | *Eventual [[coma]] | ||
* Signs of increased [[ICP]] (N/V, [[lethargy]] etc.) | *[[Aphasia]] | ||
*[[Ataxia]] | |||
* Signs of increased [[ICP]] (N/V, [[lethargy]] etc.)<ref name="urlBrain Abscess | Columbia Neurosurgery">{{cite web |url=http://www.columbianeurosurgery.org/conditions/brain-abscess/ |title=Brain Abscess | Columbia Neurosurgery |format= |work= |Accessed on October 30, 2015=}}</ref> | |||
** This is an indication for immediate intervention. | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Neurology]] | [[Category:Neurology]] | ||
[[Category:Neurosurgery]] | |||
[[Category:Emergency medicine]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
Latest revision as of 20:41, 29 July 2020
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Farwa Haideri [2]
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Brain abscess Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Brain abscess physical examination On the Web |
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American Roentgen Ray Society Images of Brain abscess physical examination |
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Risk calculators and risk factors for Brain abscess physical examination |
Overview
Patients with brain abscess generally appear healthy. Most findings are neuromuscular in nature.
Physical Examination
Appearance of the patient
- The patient generally appears healthy, though may show signs of fatigue, drowsiness, or have speech difficulties.[1]
Vital signs
- Dysarthria
- Fevers
- Headache
- Most common complaint, seen in greater than 75% of patients
Neck
- Stiffness in neck (in occasional cases)
Neuromuscular
- Altered mental status
- Hemiparesis
- Approximately 30-50% of patients will have focal neurological deficits
- Eventual coma
- Aphasia
- Ataxia
- Signs of increased ICP (N/V, lethargy etc.)[1]
- This is an indication for immediate intervention.