Meningitis (Paediatric)
- Presentation

Initially

• Coryza symptoms - rhinorrhoea, cough, fever
• Poor feeding
• Drowsy
• Seizure
• Reduced level of consciousness
• Nausea and vomiting

Followed by

• CNS symptoms
  * Photophobia
  * Headache
  * Neck stiffness
     -> for <2mo, ask about irritability when nappy changed
  * Symptoms of raised ICP
     -> Raised frontenelle
     -> Papilloedema
  * Positive Kernig's sign
• Rash
  (mainly peripheries)