Author: Natasha Dole / Editor: Thomas MacMahon / Reviewer: Rafeeq Ahmed Sulaiman / Codes: EnC5, IP1, NeuC6, NeuP2, NeuP7, RP6, SLO3 / Published: 25/02/2023
A 77-year-old gentleman presents to the Emergency Department (ED) five days after his endoscopic endonasal transsphenoid resection of his pituitary adenoma with a severe frontal headache and multiple episodes of significant vomiting. His symptoms started two days ago shortly after discharge from an uncomplicated hospital stay.
He describes the headache as constant and throbbing with a pain severity of 8 out of 10, exacerbated by movement, with associated fever, rigors and blurred vision.
He is now retired with a background history of well controlled hypertension, gastro-oesophageal reflux disease and hypothyroidism, with recently added regular oral steroid following his surgery. On examination, he has a temperature of 39oC with a heart rate of 130 bpm and a blood pressure of 90/50 mmHg.
Module Content
Intracranial Infections
CNS infections are relatively rare, but form a very important differential diagnosis in the unwell patient presenting to the ED.
Meningococcal Disease and Meningococcal Meningitis
Recognising the clinical features of invasive meningococcal disease in children
Non-traumatic Subarachnoid Haemorrhage
This session describes the management of presentations of non-traumatic subarachnoid haemorrhage in the ED.
7 Comments
Good case
interesting
Good one
good one
Good read.
Important Learning points
interesting case