Urgent Bite 249 – Sentinel headaches and SAH
What is a sentinel headache before a SAH and could they help us pick up earlier on a diagnosis in urgent care?
What is a sentinel headache before a SAH and could they help us pick up earlier on a diagnosis in urgent care?
How long do grommets take to fall out?
You might think that neck pain after minor trauma is probably a musculoskeletal injury. But do not forget to consider vertebral artery dissection.
Look out for the Holstein-Lewis Fracture which is associated with radial nerve injury. Also, be aware of the torsional forces associated with arm wrestling.
It is important to check peripheral neurology after trauma. Neurapraxia, with an o, is one cause of altered sensation.
Are your patients aware that a fracture is the same as a break? Do they think that one is worse than the other?
Type 2 diabetics can present with a DKA associated with SGLT-2 inhibitors. And it may be euglycaemic. So be wary.
Pinworms are often asymptomatic, or cause mild pruritus ani, but do they cause abdominal pain?
If you are working in urgent care over the holiday period, thank you.
While the Christmas period is supposed to be a happy holiday for all, there are many increased stressors at this time of year. These papers give food for thought for the season.