Welcome to the inaugural post of Small Talk; a new monthly section from emDOCs. Every first Wednesday of the month we will release high yield PEM content written by PEM talent from around the country. Today we discuss pediatric stroke.
Dr. Pilcher covers a difficult case of a patient with headache. When is a migraine, not a migraine?
When should you consider cauda equina syndrome, and how can you avoid missing it?
How does reversible cerebral vasoconstriction syndrome present, and what is the management?
A 32-year-old female with a previous medical history of acne on isotretinoin presents to the ED for 2 months of headaches that awake her from sleep, more prominent in the morning. She also endorses nausea and vision changes. She notes that her vision is blurry especially in her periphery. The patient denies the possibility of being pregnant. She denies fevers, neck stiffness, facial weakness, dysarthria, and personal history of cancer or venous thromboembolic events. Neurologic exam is normal. What’s the next step in your evaluation and treatment?
Visual Wednesdays brings you TIA.
Visual Wednesdays bring you acute monocular vision loss.
This week Rachel Bridwell and Brit Long cover sneaky seizure triggers.
