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Headache and Dizziness

Headache and Dizziness. Continuing Clinical Education Emergency Department. Case Presentation. 37 year old female CC: Headache occipital area; PS = 6/10 Hx : 5 days PTC (+) headache at occipital area; 2 episodes of vomiting; (+) dizziness

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Headache and Dizziness

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  1. Headache andDizziness Continuing Clinical Education Emergency Department

  2. Case Presentation • 37 year old female • CC: Headache occipital area; PS = 6/10 • Hx: 5 days PTC (+) headache at occipital area; 2 episodes of vomiting; (+) dizziness • Persistence of symptoms caused patient to seek consult: (-) one-side weakness, (-) blurring of vision

  3. Case Presentation • V/S : T=36 °C, PR= 102, RR= 21, BP=158/105, PS = 6/10 • PMHx: HTN, Hyperthyroidism • Normal PE • Etorixocib 120 mg given PO • BP monitoring done: 140/90 130/90 • Dx: Hyperthyroidism, Vascular Headache • Discharged with V/S: T=36.1 °C, PR= 84, RR= 20, BP=130/90, PS = 0/10

  4. Case Presentation • 59, Female • CC: Spinning Sensation • Hx: Upon waking up, complained of dizziness, spinning in character aggravated by movement

  5. Case Presentation • Hx: No focal weakness, numbness, chest pain, (+) nausea, no vomiting • V/S : T=36 °C, PR= 84, RR= 21, BP=180/120, PS = 6/10 • GCS 15 (E4, V5, M6); Pupils 2-3 cm ERTL, EOM intact, no facial asymmetry, tongue midline, no Babinski; no motor/sensory deficit • ECG, Serc 16 mg tab PO, Plasil 10 mg IV

  6. Case Presentation • BP monitoring every 15 minutes • 150/100 • 150/100 • 140/90 • Dx: BPPV, Hypertension Stage II • Discharged • Take home meds: • Serc 16mg tab TID • Clonidine 75mcg tab SL for SBP > 160 mmHg

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