SAQ 914 – Neurology – thunderclap headache and subarachnoid haemorrhage workup

A 36-year-old woman presents five hours after very sudden onset severe headache suspicious for subarachnoid haemorrhage.

Apart from headache, list four other clinical features that may be present in SAH.

(Marked out of 4.0)

/ 4

Complete the table with estimates for SAH prevalence, CT sensitivity and traumatic tap incidence.

(Marked out of 3.0)
</p> <table class="saq-prop-table" style="width: 100%; max-width: 100%; table-layout: fixed; border-collapse: collapse;"> <thead> <tr> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Situation</th> <th style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Estimate</th> </tr> </thead> <tbody> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Classic thunderclap history</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">New-generation CT sensitivity</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> <tr> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;">Traumatic tap incidence</td> <td style="overflow-wrap: anywhere; word-break: normal; white-space: normal; vertical-align: top; box-sizing: border-box;"></td> </tr> </tbody> </table> <p>

/ 3

The CT is normal and LP is planned for xanthochromia. Name the two red-cell breakdown products that can cause yellow CSF discolouration.

(Marked out of 2.0)

/ 2

List five criteria indicating that CT should be performed before LP.

(Marked out of 5.0)

/ 5

Total Score: 0 / 14

Percentage: 0%