A 43-Year-Old Male Presents to the Emergency Department in a Stupor

Multiple Choice

A 43-year-old male presents to the emergency department in a stupor, accompanied by his wife. She called the ambulance because her husband was difficult to awaken this morning. She reports that for the last 3 days he has had a fever and an upper respiratory infection. Yesterday he had a headache. He has had no medical treatment. On physical examination, the patient demonstrates 103°F fever, sluggish pupil response, and nuchal rigidity. Which of the following should the clinician attempt to elicit next?

A) Hallpike maneuver
B) Kernig's sign
C) Epley maneuver
D) Babinski's sign