If you think CT will show a cause for the headache, do a CT If a CT is indicated for other reasons (depressed conscious level, focal neurology), do a CT If a GCS 15 patient is to undergo LP for suspected (or to rule out) meningitis, and they have a normal neurological exam (including fundi), […]
CNS infection should be considered in all patients with a headache, neck stiffness, fever, altered sensorium, or diffuse or focal neurological findings. pneumoniae is one of the two leading causes of bacterial meningitis in adults. Mortality from S. pneumoniae is 30%. pay close attention to cranial nerves 2, 3, 4, and 6 Altered mental status […]
A thunderclap headache (TCH) has been defined as a “headache that reaches 7 (out of 10) or more in intensity within less than one minute.”
The main goals of ED migraine therapy are (in order): Make the symptoms go away Restore normal function Align the patient for outpatient follow up Metoclopramide is quite effective at accomplishing these 3 goals.