Diagnosing Meningitis: Don’t MISS

M eningeal symptoms, e.g. Kernig and Brudzinski
I CP increase
S eptic symptoms, e.g. fever, tachycardia
S pinal fluid changes


K ernig symptom
K nee bending


B ridzinski symtptom
B end the neck
B ack is rigid
B oth legs flex at the hips


DDx of Meningitis Causes = BAT:
B acterial
A septic, e.g. viral
T B