CLINICAL

PRESENTATION
MEMBERS:
ABADILLA, ANGELA MARIE
ABDALLA, KHALID
ARASAKUMARAN, VINITHA
KHERANI, SIMON
CHOUDARY, VISHU
GENERAL INFORMATION

PATIENT: JLCR OCCUPATION:

AGE: 20
PROMODISER
GENDER: MALE
NATIONALITY: FILIPINO
CIVIL STATUS: SINGLE
RELIGION: ROMAN CATHOLIC
ADDRESS: CITY OF ANTIPOLO,
RIZAL
DATE OR BIRTH: 11/07/1999
 CHIEF COMPLAINT

HEADACHE FOR 4 DAYS DURATION

 HISTORY OF PRESENT
ILLNESS

CONDITION STARTED LAST DECEMBER 26, 2019 AS

UNDOCUMENTED LOW GRADE FEVER OCCURING MOST
ESPECIALLY AT NIGHT TIME WITH NO NOTED COUGH, HEADACHE
AND DECREASE IN SENSORIUM, FEVER SPONTANEOUSLY
RESOLVED AFTER 4 DAYS.
4 DAYS PRIOR TO CONSULT PATIENT COMPLAINED OF HEADACHE,
GENERALIZED, PAIN SCALE OF 6-7/10, WITH NO NOTED VOMITING,
FEVER, SEIZURE, NOR DECREASE IN SENSORIUM. NO MEDICATIONS
TAKEN WITH PERSISTENCE PROMPTED CONSULT AT IM OPD.
PAST MEDICAL HISTORY

(-) HYPERTENSION

(-) DIABETES MELLITUS I AND II

(-) STROKE
 PERSONAL AND SOCIAL
HISTORY

PATIENT IS RIGHT HANDED

SMOKER: 4 STICKS FOR 3 YEARS

OCCASIONAL ALCOHOLIC DRINKER

 REVIEW OF SYSTEMS
CONSTITUTIONAL: Patient denies fevers, chills, sweats and
weight changes.
EYES: Patient denies any visual symptoms.
EARS, NOSE, AND THROAT: No difficulties with hearing. No
symptoms of rhinitis or sore throat.
CARDIOVASCULAR: Patient denies chest pains, palpitations,
orthopnea
RESPIRATORY: No dyspnea on exertion, no wheezing or cough.
GI: No nausea, vomiting, diarrhea, constipation, abdominal pain,
hematochezia or melena.
GU: No urinary hesitancy or dribbling. No nocturia or urinary
frequency. No abnormal urethral discharge.
MUSCULOSKELETAL: No myalgias or arthralgias.
 REVIEW OF SYSTEMS
NEUROLOGIC: Patient complained of headache with pain scale
of 6-7/10, no seizures. Patient denies numbness, tingling or
weakness.
PSYCHIATRIC: Patient denies problems with mood disturbance.
No problems with anxiety.
ENDOCRINE: No excessive urination or excessive thirst.
DERMATOLOGIC: Patient denies any rashes or skin changes.
General Survey:
BP 110/70 PR 104 RR 18 T 36.4 O2 SAT 99%
NEURO EXAM
•CN I – can identify the
substance •Awake, alert, can spell
•CN II – (-) visual abnormality, MUNDO forward and
(+) direct and consensual backward, oriented x 3
pupillary light reflex
•CN III,IV,VI – primary gaze •Motor:
•CN V – (+) corneal reflex
(V1-V3) – intact
•CN VII – no facial asymmetry •Sensory:
•CN VIII – no hearing
abnormality
•CN IX – X – uvula midline
•CN XI – can shrug shoulder
•CN XII – tongue in midline
 BACTERIAL
TB MENINGITIS
 OBJECTIVES
DEFINITION
CLASSIFICATION
PATHOGENESIS OF TB MENINGITIS
CLINICAL FEATURES AND CLINICAL STAGING
DIAGNOTIC CRITERIA
COMPLICATIONS OF TB MENINGITIS
MANAGEMENT
DIFFERENTIAL DIAGNOSIS