A young man presents with fever, headache, photophobia and vomiting. Can you interpret the findings to diagnose and treat him appropriately before it’s too late?
A young man presents with fever, headache, photophobia and vomiting. Can you interpret the findings to diagnose and treat him appropriately before it’s too late?
A 14-year-old boy has been brought to the ED with a headache that has been ongoing for the last few days.
A 50-year-old male presents with painful Horner’s syndrome. The initial CT scan is reported as normal, and stroke consultant suggests discharge, creating a challenge in clinical reasoning and professional advocacy.
It’s 4:00 AM. You’ve just managed to find a working ophthalmoscope and after wrestling with it and staring through the gloom, you spot the optic disc
A 21-year-old female with a headache and visual disturbances.
A keen fisherman attends following a flu-like illness. He has a small head wound and is now jaundiced. One sign brings it all together, can you spot it?
A 34-year-old female presents to the emergency department with a 3-day history of left ear pain, without discharge or tinnitus.
A 46-year-old male presents to the ED with 3 months refractory headache and subacute forehead swelling (unknown duration) with acute periorbital oedema.
30 questions. 30 minutes. Test yourself against your colleagues!
A 42-year-old man presents to the ED with a severe headache. He is pacing up and down and says he has been woken up by a similar headache every night for the last 4 nights.
A 27-year-old female presents to the ED with one day history of sudden onset of moderate to severe intensity headache, vomiting, diplopia and abdominal discomfort.
An 11-year-old female re-presenting with an unusual facial swelling.
This is a hugely common presentation in the ED and often one many doctors try to avoid
A 45-year-old woman presents to the ED with a history of headache persisting for the past 4-5 days, accompanied by an inability to open her left eye for the past day.
A 30-year-old lady presents to the ED feeling “numb from the waist down”.
A 31-year-old female presents to the emergency department complaining of a dilated left pupil that has been noticed by a colleague at work.
A healthy 25-year-old presents to the ED complaining she cannot text on her phone.
It is a busy winter evening in the ED. The next patient to be seen is a 37-year-old female presenting with a headache, nausea and general malaise.
A 16-year-old patient with headache and vomiting with a past medical history of dysmenorrhoea.
Headaches are one of the most common presentations to the ED and may be primary or secondary. We want to help you differentiate between those benign ones that just require simple analgesia and reassurance, and those that require further investigation.