SAQ 1174 – Sudden headache with CT brain and self-discharge during access block

Marked out of 18.00

A 20-year-old man presents by ambulance to a tertiary ED with sudden-onset headache. He vomited once at triage and appeared intoxicated after drinking alcohol today. A non-contrast CT brain slice is shown below.

A junior doctor later tells you the patient has self-discharged against medical advice while waiting for a bed. He had been in the waiting room because of access block.

Axial non-contrast CT brain slice
Non-contrast CT brain slice.

State two (2) positive findings on the CT slice.

(Marked out of 2.0)


/ 2

List four (4) relevant negative findings on the CT slice.

(Marked out of 4.0)


/ 4

State the unifying CT diagnosis.

(Marked out of 1.0)


/ 1

Complete the table to describe a scoring system that clinically grades and prognosticates this diagnosis.

(Marked out of 6.0)


/ 6

List two (2) important immediate actions after learning the patient has self-discharged.

(Marked out of 2.0)


/ 2

List three (3) strategies to minimise ED access block and overcrowding.

(Marked out of 3.0)


/ 3

Total Score: 0 / 18

Percentage: 0%