A 45-year-old woman presents by ambulance with a severe headache that has not responded to simple analgesia. Based on your history and examination, you are concerned about subarachnoid haemorrhage and think she may require lumbar puncture.
She is reluctant because she is afraid of needles and asks why CT or MRI cannot simply rule out bleeding. She later consents and CSF is sent to the laboratory.
List five (5) red flags on history that would make you concerned about subarachnoid haemorrhage.
(Marked out of 5.0)
/ 5
Other than suspected subarachnoid haemorrhage, list four (4) other indications to perform CT brain before lumbar puncture.
(Marked out of 4.0)
/ 4
List two (2) evidence-based measures to reduce the likelihood of post-lumbar-puncture headache.
(Marked out of 2.0)
/ 2
State one (1) reason why CT angiography of the circle of Willis does not negate the need for lumbar puncture if suspicion for SAH remains high.
(Marked out of 1.0)
/ 1
State two (2) CSF findings that essentially exclude SAH.
(Marked out of 2.0)
/ 2
Total Score: 0 / 14
Percentage: 0%
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