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A 19-year-old college student presents to the emergency room with fever, headache, and neck pain/stiffness. She is concerned about the possibility of meningococcal meningitis. Several of her dorm mates have been vaccinated, but she hasn't been.

Which of the following physical examination descriptions is most consistent with meningitis?

A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion.

B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited range of motion to the right.

C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to perform range of motion.

D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full range of motion.

Answer :

Final answer:

The physical examination description most consistent with meningitis is option C, with specific findings detailed.

Explanation:

Physical Examination Description Most Consistent with Meningitis:

A) Head is normocephalic and atraumatic, fundi with sharp discs, neck supple with full range of motion.

B) Head is normocephalic and atraumatic, fundi with sharp discs, neck with paraspinous muscle spasm and limited range of motion to the right.

C) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck tender to palpation, unable to perform range of motion.

D) Head is normocephalic and atraumatic, fundi with blurred disc margins, neck supple with full range of motion.

The most consistent description with meningitis is C, where the patient's head is normocephalic and atraumatic, fundi with blurred disc margins, and the neck is tender to palpation with an inability to perform range of motion.

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Answer and Explanation:

Meningococcal meningitis is an uncommon however genuine bacterial infection. It causes the films that spread the mind and spinal rope to end up inflamed.

Meningococcal meningitis can be lethal or cause incredible mischief without brief treatment.

Microscopic organisms and infections are the two primary driver of meningitis. The bacterium Neisseria meningitidis, additionally called meningococcus leads to meningococcal meningitis.

Meningococcal microorganisms may cause contamination in body parts - the skin, gastrointestinal tract, or respiratory tract, for example.

For obscure reasons, the microbes may then spread through the circulation system to the sensory system.

When it arrives, it causes meningococcal meningitis. Microbes can likewise enter the sensory system legitimately after extreme head injury, medical procedure, or disease.