Neck

Palpate for lymphadenopathy in the same areas as in the adult.

Any child with an acute febrile illness with irritability should be examined for nuchal rigidity, resulting from meningeal irritation, although these may be late findings in a young infant with meningitis. The Brudzinski and Kernig tests are described in Chapter 21, The Nervous System. Nuchal rigidity can sometimes be detected by encouraging the child to look at something below him or her; the natural tendency is to flex the neck, but such a movement is avoided with meningeal irritation.

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