Round 7 (Headache)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!











Case Introduction











Just a routine day at your hospital, your next patient has a chief complaint of headache…











Initial Vitals











* Temp 98.8* HR 88* RR 16* BP 130/80* O2 99%











Critical Actions











* Identify Acute Angle Closure Glaucoma* Initiate Appropriate Treatment for Acute Angle Closure Glaucoma* Emergent Consult to Ophthalmology* Recheck Intra-Ocular Pressure After Initiating Treatment











Dangerous Actions











* Giving NSAIDS (The Patient Had This on Allergy List)* Performing a Lateral Canthotomy











Final Diagnosis











Acute Angle Closure Glaucoma











Tips and Tricks











Do not be surprised or scared when an examiner has a monotone voice and flat affect











Additional Reading











* Management of acute angle closure glaucoma (PubMed)* Basic approach to eye complaints (EM Clerkship)