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학습 자료 둘러보기 →A positive Kernig's sign is highly specific for meningeal inflammation. To perform the test, position the patient supine with the hip and knee flexed at 90 degrees, then passively extend the knee. Pain and resistance in the hamstrings indicate a positive sign.
A positive Brudzinski's sign is another key indicator. With the patient supine, passively flex the neck. Involuntary flexion of the hips and knees is a positive response, reflecting meningeal irritation.
These signs may be absent in very young infants, the elderly, or immunocompromised patients. Always correlate with the full clinical picture, including fever and altered mental status. Immediate antibiotic therapy should not be delayed while performing these assessments.
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