Neck Stiffness and Pain

Painful Neck Stiffness (Meningismus): Medical History

Medical history (history of illness) represents an important component in the diagnosis of meningismus (painful neck stiffness). Family history Social history Current anamnesis/systemic anamnesis (somatic and psychological complaints). How long has the painful neck stiffness existed?* Are there other symptoms such as fever, general weakness, nausea, vomiting, impaired consciousness, sensitivity to light, sensitivity to sound?* … Painful Neck Stiffness (Meningismus): Medical History

Painful Neck Stiffness (Meningismus): Or something else? Differential Diagnosis

Conditions that may be associated with meningismus: Cardiovascular (I00-I99). Intracranial aneurysm rupture (rupture of an abnormal bulge in the arterial wall of the brain). Intracranial hemorrhage (bleeding within the skull; parenchymal, subarachnoid, sub- and epidural, and supra- and infratentorial hemorrhages)/intracerebral hemorrhage (ICB; cerebral hemorrhage) Subarachnoid hemorrhage (SAB; hemorrhage between the spinal meninges and the soft … Painful Neck Stiffness (Meningismus): Or something else? Differential Diagnosis

Painful Neck Stiffness (Meningismus): Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Functional testing of the cervical spine (due toDD. Pseudomeningism!). Auscultation (listening) of the heart. Auscultation of the lungs Palpation (palpation) of the abdomen (abdomen) (tenderness?, … Painful Neck Stiffness (Meningismus): Examination

Painful Neck Stiffness (Meningismus): Test and Diagnosis

1st order laboratory parameters – obligatory laboratory tests. Small blood count Inflammatory parameters – CRP (C-reactive protein). Pathogen detection (see meningitis diagnostics). Coagulation parameters – PTT, Quick Laboratory parameters 2nd order – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. CSF puncture (collection of cerebrospinal … Painful Neck Stiffness (Meningismus): Test and Diagnosis

Painful Neck Stiffness (Meningismus): Diagnostic Tests

Obligatory medical device diagnostics. Computed tomography of the skull (cranial CT, cranial CT or cCT) and cervical spine (C-spine) [mandatory on admission day]. Optional medical device diagnostics – depending on the results of the history, physical examination and mandatory laboratory parameters – for differential diagnostic clarification. Magnetic resonance imaging of the skull (cranial MRI, cranial … Painful Neck Stiffness (Meningismus): Diagnostic Tests

Painful Neck Stiffness (Meningismus): Symptoms, Complaints, Signs

The following symptoms and complaints may indicate Meningismus (painful neck stiffness): Leading Symptoms Painfulness of head movements in the cervical spine. Increased resistance to passive head movements in the cervical spine In the broadest sense, all painful symptoms that may occur due to meningitis are called meningismus.Pseudomeningismus exists when there is painfulness of movements in … Painful Neck Stiffness (Meningismus): Symptoms, Complaints, Signs