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Headache DDX
headache differentials
7
Medical
Professional
08/27/2012

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Cards

Term
Intercranial Hemorrhage
Definition
Presentation: Sudden onset HA "thunderclap", confusion, nausea, vomiting Labs/Rads: Head CT unless its subarachnoid which then would do an LP to check for RBC
Term
Meningitis
Definition
Presentation: HA, neck pain/stiffness, + Kernig and/or + Brudzinski sign, cold Sx Labs/Rads: LP -CSF will be cloudy and + for WBC, CBC will show elevated WBC
Term
Hydrocephalus
Definition
Presentation: HA, Vision changes, Altered mental status Labs/Rads: Head CT or LP (increase opening pressure)
Term
Seizure (w/ Hx)
Definition
Presentation:Syncope, Postictal state (HA, migraine, confusion, nausea, hypertension), bowel/bladder incontinence, oral trama, witnesses Labs/Rads: Blood levels of antiseizure meds (dilantin, depakote)
Term
Seizure (w/o Hx)
Definition
Presentation: Syncope, Postictal state (HA, migraine, confusion, nausea, hypertension), bowel/bladder incontinence, oral trama, witnesses Labs/Rads: Head CT, Blood alcohol levels (withdrawl?), if patient remembers it may be a pseudo-seizure
Term
Cerebral Vascular Accident CVA
Definition
Presentation: Myriad of Sx:hemiparalysis, slurred speech, aphasia, AMS, focal weakness, focal numbness, dizziness/nausea Labs/Rads: Plain CT (will show hemorrhagic stroke), CTA will show obvious thrombus, MRI will be ordered if CT and CTA are unremarkable **IMPORTANT to document: onset of Sx (are they in window of thrombolytics pTT), If "CODE NEURO" is called time of consults to Neuro IR, If thrombolytics were discussed with pt and family, if thrombolytics were pushed at what time?
Term
Transient Ischemic Attack TIA
Definition
Presentation: Myriad of Sx:hemiparalysis, slurred speech, aphasia, AMS, focal weakness, focal numbness, dizziness/nausea Labs/Rads: Sometimes TIA's are a clinical diagnosis and not proven with imaging **IMPORTANT to document: onset of Sx (are they in window of thrombolytics pTT), If "CODE NEURO" is called time of consults to Neuro IR
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