Command:

This patient presents with a 1-week history of persistent headache.

Please examine the patient and address any issues or concerns raised.

https://dai.ly/k3vZh2CqeWi8hZzvXEG

https://dai.ly/k5R3tQMhObgvOUzvXEu

https://dai.ly/kwIgqRl4Jdg1RRzvXEE

Follow-Up Questions/Answers

Can you summarise your findings for me and talk me through this case?

• This young man has presented with generalised malaise and a headache along with neck stiffness.
• The most important diagnosis I would like to exclude therefore is that of bacterial meningitis.
• On examination, there were no focal neurological signs and fundoscopy was
• However, there was evidence of neck stiffness and Kernig's sign was positive.