Author: Adnan Akram / Editor: Sarah Edwards / Codes: NeuC2, NeuP2, SLO1, SLO2, SLO3 / Published: 19/05/2025
A 27-year-old female presents to the emergency department (ED) with one day history of sudden onset of moderate to severe intensity headache, vomiting, diplopia and abdominal discomfort.
The patient doesn’t report any rash, neck pain or photophobia. No urine or bowel related symptoms have been identified. Her past medical history includes migraine. She delivered twin babies 3 weeks ago.
On examination she looks dehydrated with a supple neck with the following observations:
SPO2- 97% Room Air
R/R- 22
BP- 80/50
Temperature – 37.8 C
GCS- 15/15
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Question 1 of 3
1. Question
Which three diagnoses would be least likely to be included in your differentials? (Select all that apply)
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Question 2 of 3
2. Question
Venous Blood Gas:
Ph- 7.29
HCO3- 19
PCO2- 4
LACTATE- 3.3
Na- 129
K - 6
Glucose - 3.6Which of the following should be included in the treatment? (Select all that apply)
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Question 3 of 3
3. Question
The patient’s CT scan is reported normal. What are your 3 likely diagnoses?
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Module Content
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4 responses
Good case with differentials for learning.
Great Revision
Wonderful reminder of post-partum emergencies.
Excellent model.