Current Projects – HED - TERN

…with nontraumatic headache: an investigation of adult patients attending an emergency department. Headache 2006; 46(6): 954-61. National, Institute, for, et al. Diagnosis and management of headache in young people and adults. CG150. 2012. https://www.nice.org.uk/guidance/cg150 (accessed 31/7/2018 2018). Rodriguez RM, Hendey GW, Mower WR. Selective chest imaging for blunt trauma patients:

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Giant Headache!!! - Clinical Case

Author: Vaishnavi Menon, Varshini Manoharan, Riad Hosein / Editor: Nick Tilbury / Codes: CAP17, CAP29, HAP17, HAP32, NeuP2, NeuP7, OptC6, OptP5, SLO1 / Published: 16/02/2021 A 69-year-old lady presents with a 3-week history of right-sided headache and jaw claudication, associated with significant reduction in vision of the right eye over the last 2 days. She…

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November 2017 - Podcast

…Headache Disorders describes the headache as having no specific characteristics[2] but one study found the headache was usually acute or subacute in onset, localised, continuous and moderate to severe.[23] Cases have been reported where headache is the only neurological symptom or sign but this is very rare. “Stroke” Stroke without…

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Feeling unwell in pregnancy, what a headache! - SAQ

…‘borderline’ raised blood pressure. She presents with 48 hours of increasing generalised headaches, blurred vision and right upper quadrant pain. She has also noticed that her hands and feet have become more swollen and she has gained over 1kg in weight. In the last 6 hours she has noted decreased…

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August 2021 - Podcast

…we can treat the pain Methods – randomised double blind, ED based trial of IV metoclopramide and diphenhydramine for headache after head injury – used the International Classifcation of headache disorders criteria (the same people who make criteria for migraine) to pull out those with post traumatic headache (importantly this…

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Intracranial Infections - Reference

…derangement. Classic symptoms Symptom Sensitivity % 95% Confidence Interval (CI) Headache 50 32-68 Nausea and vomiting 30 22-38 Neck Pain 28 One study only Classic symptoms of meningitis include headache, nausea or vomiting and neck pain. Examination results Physical examination findings may include fever, neck stiffness, altered mental status, focal…

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March 2019 - Podcast

…Single centre, university hospital academic ED Patients Studied: Adults with migraine-type headaches as per [International Headache Society (IHS) migraine criteria](https://www.ichd-3.org/wp-content/uploads/2016/08/International-Headache-Classification-III-ICHD-III-2013-Beta-1.pdf) As selected by a senior EM resident trained in the criteria Excluded: Analgesia taken in previous two hours Pr

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Heating: It’s Not Just the Bills Giving You a Headache - SAQ

Author: Ceara Harbinson / Editor: Steve Fordham / Reviewer: Chris Wearmouth / Codes: CAP14, CAP27 / Published: 03/07/2020 A 35-year-old lady is brought to the ED by her husband after developing acute confusion, vomiting and unsteadiness on her feet. At triage she is noted to be drowsy and disorientated, and…

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August 2020 - Podcast

…and 60 in the placebo group – 60% had a history of migraine – 91% had a headache classified as severe, with a VAS score>7, 1 patient had a mild headache <4, and the rest were moderate. – Patients in the haloperidol group reported a mean reduction on VAS of…

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Hypertensive Disorders in Pregnancy… HELLP! - Reference

…hypertension, no proteinuria or other features of pre-eclampsia Headaches/ visual disturbance Anti-phospholipid syndrome Possible history of recurrent miscarriage/VTE/stroke/TIAs Thrombotic thrombocytopaenia purpura May have some/all of fever/confusion/low platelets/renal failure/haemolytic anaemia Cerebral venous sinus thrombosis Absence of hypertension, progressive severe headache, neurol

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