Author: Helen Blackhurst / Editor: Jason M Kendall / Reviewer: Chris Wearmouth / Codes: NeuP2, PC1, SLO1 / Published: 16/12/2020
A 42-year-old man presents to the Emergency Department at 4am with a severe headache. He is pacing up and down and says that he has been woken up by a similar headache every night for the last 4 nights. Paracetamol has had no effect. The headache is right sided and frontal. There is no nausea or visual disturbance. He is complaining of sinus congestion but no nasal discharge. On examination his right eye is watering slightly. There is no focal neurology; blood pressure is 165/103 with no papilloedema.
There is no history of migraine.
Module Content
Primary Headache
Acute, severe headache is a common symptom of patients presenting to the emergency department. In 90% of cases, the cause will be one of the primary headache syndromes.
Non-traumatic Subarachnoid Haemorrhage
This session describes the management of presentations of non-traumatic subarachnoid haemorrhage in the ED.
PEM Headaches
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.
9 Comments
Good case
Good case
Informative
thank you for sharing
Thanks
Educative
Interesting case!thank you very much!
useful presentation. thanks
concise summary of cluster headache, thanks