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. 2018 Nov 12;9(4):e78–e92.
Sens (%) Spec (%) LR + LR -
Jolt Accentuation (based on 1 study) 97 54 2.4 0.05
Fever 43 48 0.82 1.2
Neck Stiffness 3-15 68 0.94-6.6 0.83-1.0
Brudzinski 5 95 0.97 1.0
Kernig 5-9 95 0.97-4.2 0.92-1.0
Altered mental status 69 - - -
Focal neuro findings 21 - - -
Rash 61 - - -

Consolidated from JAMA RCE + Update