Neurology Book

Approach

Otolaryngology

Motor Disorders

Cognitive Disorders

Ophthalmology

Cardiovascular Medicine

Headache Disorders

Infectious Disease

Level of Consciousness

Cerebellar Disorders

Cerebrospinal Fluid Disorders

Sensory Disorders

//fpnotebook.com/

Oostenbrink Clinical Decision Rule for Meningitis

Aka: Oostenbrink Clinical Decision Rule for Meningitis
  1. See Also
    1. Nigrovic Clinical Decision Rule (for CSF evaluation)
  2. Indications
    1. Meningitis evaluation in children
    2. Ages: 1 month to 15 years old
  3. Criteria
    1. Duration of main symptoms: 1 pt/day (up to 10)
    2. Vomiting: 2 pt
    3. Physical exam
      1. Cyanosis: 6.5
      2. Altered Level of Consciousness: 8.0 pt
      3. Meningeal Irritation: 7.5 pt
      4. Petechiae: 4.0 pt
    4. C-Reactive Protein (CRP)
      1. CRP <5: 0 pt
      2. CRP <10: 0.5 pt
      3. CRP <15: 1.0 pt
      4. CRP <20: 1.5 pt
      5. CRP >20: 2.0 pt
  4. Interpretation
    1. Score >8.5 points indicates need for Lumbar Puncture
  5. References
    1. Oostenbrink (2001) Acta Paediatr 90:611-7 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree