
A young woman is ‘talking to voices’ and is admitted to the psychiatric unit. Does she have a mental illness, or is something else going on?
Life in the Fast Lane Medical Blog
Emergency Medicine education blog
A 50 year-old woman sees the world spin round when she hangs up her washing. Can you make the diagnosis and effect a cure?

Review of EBM surrounding the assessment and management of Subarachnoid Haemorrhage in the emergency department

Migraine without aura (‘common’ migraine). 66-75% of migraineurs; must have had at least five attacks. Attacks lasting 4-72 hours untreated. At least 2 of headache characteristics: unilateral, pulsating or throbbing, moderate to severe, aggravated by movement. At least 1 associated symptom during headache: nausea and/or vomiting, photophobia and phonophobia.

Status Epilepticus: Synonyms: overt, geneneralised tonic-clinic, major motor SE. Defined as a seizure lasting over 5 mins, or two or more seizures without recovery in between.

Stroke is the second commonest cause of death (10-12%), consumes >4% total healthcare costs, and is commonest cause of adult disability in western world. 80-85% are ischaemic (thrombotic or embolic) and 15-20% the more lethal haemorrhagic stroke (including 5% SAH), of which over 50% will die by 1 month.
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