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Institution: Royal Prince Alfred Hospital, Sydney, Australia
In (children), are (meningeal irritation signs, specifically Kernig's sign, Brudzinski's sign or neck stiffness), reliable signs in helping to (diagnose bacterial meningitis)?
A 3-year-old girl is brought to the emergency department by her parents. She has vomited multiple times and has been feverish and lethargic over the last 24 h. On examination, she is feverish, she has a stiff neck and Kernig's sign is positive. You are concerned about the possibility of meningitis but …