رضيع عمره ٥ أشهر بعد التهاب سحايا. أي علامات تدل على ارتفاع الضغط داخل الجمجمة؟

A 5-month-old is recovering from meningitis. Which signs indicate raised intracranial pressure?

1. Weight gain, a good appetite and long quiet sleep
2. A bulging fontanelle, high-pitched cry and downward-deviated eyes
3. A sunken fontanelle, dry mouth and fewer wet nappies
4. An itchy rash, runny nose and frequent sneezing

Answer: B) A bulging fontanelle, high-pitched cry and downward-deviated eyes. In infants raised ICP shows as a bulging fontanelle, a high-pitched cry, setting-sun eyes, increasing head circumference and vomiting. A sunken fontanelle with a dry mouth means dehydration.