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em@3am

EM@3AM: CNS Toxoplasmosis in HIV/AIDS

A 31-year-old male presents for headache for the past 72 hours. He has a history of tension headaches, but confirms that this headache feels different. He has a history of HIV/AIDS and is noncompliant with medications. His last known CD4 count one month prior was 200. He appears confused and is febrile. Neurologic exam reveals motor deficit of RUE and RLE. What's your next step?

In the Literature

JournalFeed Weekly Wrap-Up

This week's JournalFeed Wrap-Up covers a variety of topics including cricoid pressure in pediatric intubation, time to thrombolysis in ischemic stroke, and risk of thoracotomy.

em@3am

EM@3AM: Idiopathic Intracranial Hypertension

A 31-year-old female presents with headache. She has a history of migraines, but states that this headache is different. The headache came on over the past two days, but she has been having intermittent double vision when she changes positions, which is new. Exam reveals an obese female in no acute distress. Visual acuity is normal, but she has mild left sixth nerve palsy. Fundoscopic exam reveals bilateral papilledema. The rest of her neurologic exam is unremarkable. What are the next steps in management?