Subarachnoid Hemorrhage
from EM Clerkship Hosted by Zack Olson, MD
History * Sudden and maximal in onset* Compared to previous headaches* Family history of aneurysm* Associated Symptoms* Photophobia* Visual Changes* Neck Stiffness Exam * Full neuro examination* Cranial nerves* Visual fields* Speech* Cerebellar (finger-nose)* Motor* Sensation* Gait Testing Plan * Non-contrast head CT* Excellent sensitivity 100 RBCs in tube 4* Can be difficult to interpret after a traumatic lumbar puncture* Xanthochromia Treatment Plan * Prevent rebleeding* Keep SBP (MDCalc)
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