neurology paediatrics
Rule of 7s for Lyme Neuroborreliosis in Children
Clinical decision rule to distinguish Lyme neuroborreliosis from aseptic meningitis in children with meningitis in Lyme-endemic areas. Avoids unnecessary lumbar puncture in low-risk patients.
References
- Avery RA et al. The Rule of 7s: simple scoring criteria to guide lumbar puncture in children with Lyme meningitis. Ann Emerg Med. 2019;73(3):219-228.
- NICE. Lyme disease. NICE guideline NG95. 2018.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Tick-borne encephalitis vaccine · Inactivated TBE vaccine
- Methotrexate (Dermatology — Psoriasis) · Disease-Modifying Antirheumatic / Immunosuppressant
- Valaciclovir (ENT — Ramsay Hunt / Bell's Palsy) · Antiviral (Prodrug of Aciclovir)
- Acetazolamide (Ménière's Disease) · Carbonic Anhydrase Inhibitor (Diuretic)
- Zinc acetate · Zinc salt (Wilson's disease)
- Sulfasalazine · Aminosalicylate / Disease-Modifying Antirheumatic Drug (DMARD)
Pathways
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
- Suspected Subarachnoid Haemorrhage · NICE NG228; RCEM 2023; AHA/ASA 2023
- Adult Head Injury · NICE NG232 (2023)
- Bell's Palsy / Facial Nerve Palsy · ENT UK 2017; AAN
- Vertigo Workup · ENT UK; NICE CKS
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.