scholarly journals An Acute Severe Headache

2016 ◽  
Vol 15 (2) ◽  
pp. 78-78
Author(s):  
Adnan Azim ◽  
◽  
C Spake ◽  
T Raza ◽  
◽  
...  
Keyword(s):  
Severe Headache ◽  
Sharp Pain ◽  
Previous Admission

A previously fit and healthy 57 year old gentleman presented to hospital 2 weeks after a previous admission with acute severe headache. At the time of his previous admission the patient had reported that the headache was preceded by an unprovoked sharp pain in his back which had quickly resolved. The headache developed a few hours later and was noted to be markedly worsened by any attempt to sit upright, accompanied by intense nausea, and relieved by lying flat.

Persistent Headache Caused by Post-Traumatic External Nasal Neuralgia: A Case Report

2021 ◽  
Author(s):  
Salwa Omar Bajunaid
Keyword(s):  
Magnetic Resonance Image ◽  
Severe Headache ◽  
Lateral Side ◽  
Blood Tests ◽  
Sharp Pain ◽  
Physical Examinations ◽  
Post Traumatic ◽  
One Year ◽  
The Right ◽  
Persistent Headache

A 50-year-old female patient presented with a severe headache characterized by sharp pain localized in the right frontal area above the right eye. The patient’s right nostril was cauterized to stop a nosebleed one year prior to the start of the pain. Physical examinations revealed that the pain was aggravated by touch of the right lateral side of the nose and in severe attacks radiated to the maxillary frontal teeth. Blood tests, magnetic resonance image (MRI) and computer scanning (CT) scan images were all normal. The patient was diagnosed with post-traumatic external nasal neuralgia and symptoms were relieved and nearly resolved completely using a nasal cleanse and lubrication of the nose.

Surgical Case

2018 ◽  
Vol 9 (SPL1) ◽  
Author(s):  
Ali Hameed Al-Badri
Keyword(s):  
Diagnostic Delay ◽  
Small Population ◽  
Negative Appendectomy ◽  
Time Cost ◽  
Voluntary Cough ◽  
Suspected Appendicitis ◽  
Sharp Pain ◽  
Clinical Syndromes ◽  
Negative Appendectomy Rate ◽  
Classical Symptom

Appendicitis is a common and urgentsurgical illness with protean manifestations,generous overlap with other clinical syndromes,and significant morbidity,whichincreases with diagnostic delay. No single sign,symptom,or diagnostic test accurately confirms the diagnosis ofappendiceal inflammation in all cases. The surgeon's goals are to evaluate a relatively small population of patients referred for suspected appendicitis and to minimize the negative appendectomy rate without increasing the incidence of perforation. The emergency department clinician must evaluate the larger group of patients who present to the ED with abdominal pain of all etiologies with the goal of approaching 100% sensitivity for the diagnosis in a time-,cost-,and consultation-efficient manner.IN 1886Reginald fitz, pathologist 1st described the clinical condition of A.A.Fewyears laterCharles mcBurney describe the clinical finding ofA.A.55% of patients presented with classical symptom of A.A so complication occurbecauseof atypical presentation which due to variation in app. Position, age of patient & degree of inflammation.Migrating pain 80% sensitive and specific Vomiting 50% Nausea60 -90 %Anorexia 75 % Diarrhea18 % 32 % has similar attach 90 % RLQ tenderness Marklesign 74 %Dunphy's sign (sharp pain in the RLQ elicited by a voluntary cough) may be helpful in making the clinical diagnosis of localized peritonitis. Similarly,RLQ pain in response to percussion of a remote quadrant of the abdomen,or to firm percussion of the patient's heel,suggests peritoneal Inflammation

Upaya Cara Mengatasi Disminore pada Remaja Putri

2020 ◽  
Vol 1 (1) ◽  
pp. 23-30
Author(s):  
Priharyanti Wulandari ◽  
Menik Kustriyani
Keyword(s):  
Blood Loss ◽  
Community Service ◽  
Rest Pain ◽  
Menstrual Pain ◽  
School Activities ◽  
Burning Pain ◽  
Sharp Pain ◽  
Service Activities ◽  
Extreme Pain ◽  
Excessive Blood Loss

Dismenore muncul dengan berbagai jenis rasa nyeri,sepeti sakit yang teramat sangat, berdenyut, mual, nyeri seperti terbakar, atau sakit yang sangat menusuk.Dismenore bisa mendahului menstruasi dengan beberapa hari atau mungkin menyertainya, dan biasanya berkurang hingga akhir menstruasi. Dismenore bisa hidup berdampingan dengan kehilangan darah berlebihan berat, yang dikenal sebagai menorrhagia. Dalam keadaan yang normal, nyeri haid hanya membuat wanita merasa sakit dan tidak nyaman. Tetapi dalam keadaan yang parah, nyeri haid ini bisa membuat wanita tidak dapat bekerja dan harus beristirahat, nyeri sering bersamaan dengan rasa mual, sakit kepala, perasaan mau pingsan dan lekas marah..Tujuan kegiatan pengabdian masyarakat adalah mengetahui dan memahami tentang nyeri haid/disminore serta mengetahui dan memahami cara penanganan nyeri haid/disminore sehingga tidak mengganggu aktivitas selama pembelajaran di sekolah. Kegiatan dilaksanakan dua kali yaitu pertemuan pertama dengan memberikan penyuluhan tentang upaya cara mengatasi nyeri haid/disminore pada remaja putri. pertemuan kedua dengan demonstrasi cara mengatasi nyeri haid/disminore pada remaja putri. Hasil dari pengabdian menunjukkan bahwa ada peningkatan pengetahuan tentang nyeri haid/disminore serta mengetahui dan memahami cara penanganan nyeri haid/disminore. Kata kunci: disminore; menstruasi; remaja putri EFFORTS HOW TO OVERCOME DISMINORE IN PRINCESS ADOLESCENTS ABSTRACT Dysmenorrhea presents with various types of pain, such as extreme pain, throbbing, nausea, burning pain, or very sharp pain. Dysmenorrhea can precede menstruation by several days or may accompany it, and usually decreases until the end of menstruation. Dysmenorrhea can coexist with heavy excessive blood loss, known as menorrhagia. Under normal circumstances, menstrual pain only makes women feel sick and uncomfortable. But in severe conditions, menstrual pain can make a woman unable to work and must rest, pain often coincides with nausea, headaches, feelings of fainting and irritability. The purpose of community service activities is to know and understand menstrual pain/ disminore as well as knowing and understanding how to manage menstrual pain / disminore so that it does not interfere with activities during learning at school. Activities carried out twice, namely the first meeting by providing counseling about efforts to overcome menstrual pain/ disminore in princess adolescents. The second meeting with a demonstration of how to overcome menstrual pain/ disminore in princess adolescents. The results of devotion show that there is an increase in knowledge about menstrual pain/ disminore and knowing and understanding how to manage menstrual pain / disminore. Keywords: disminore, menstruation, princess adolescents

scholarly journals 365. Characteristics and outcomes of COVID-19 patients admitted to a regional health system in the southeast

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S251-S253
Author(s):  
Charles Teixeira ◽  
Henry Shiflett ◽  
Deeksha Jandhyala ◽  
Jessica Lewis ◽  
Scott R Curry ◽  
...  
Keyword(s):  
Renal Failure ◽  
Health System ◽  
Patient Characteristics ◽  
Supplemental Oxygen ◽  
Regional Health ◽  
Cancer Symptoms ◽  
Presenting Symptoms ◽  
Global Pandemic ◽  
Male Sex ◽  
Previous Admission

Abstract Background COVID-19, first described in Wuhan, China, is now a global pandemic. We describe a cohort of patients (pts) admitted to our academic health system (HS) in the southeast, where demographics and comorbidities differ significantly from other regions in the U.S. Methods This was a retrospective review of 161 consecutive pts admitted with COVID-19 from 3/12/20 to 6/1/20. We assessed demographics, comorbidities, presenting symptoms, treatments and outcomes and compared pts who died during hospitalization to those who survived to discharge (EpiInfo 7.2, Atlanta, GA). Results Mean age was 60.5 years, 51.6% were female, 72% African American (AA) and 69.6% admitted from home. 54.5% had a BMI >30, 72% had HTN, 47.2% diabetes, and 33.6% COPD or asthma. The majority (68.8%) presented with fever (>38.0) and required supplemental oxygen within 8 hours of admission (63.4%). Cough (65.6%), dyspnea (57.5%), myalgias (30.6%) and diarrhea (23.8%) were also common. 40.4% received hydroxychloroquine, 23.6% steroids and 19.9% convalescent plasma. 42.9% required ICU care, 27.3% were intubated, and 19.3% died. Characteristics associated with death included older age, male sex, HTN, ESRD on HD, and cancer. Symptoms associated with death included absence of cough, absence of myalgias, previous admission for COVID-19, tachypnea, need for supplemental oxygen, elevated BUN and creatinine, and elevated ferritin. Interventions associated with death included use of steroids, receipt of ICU care, intubation, delay to intubation, and use of vasopressors or inotropes. Complications associated with death included development of a new arrhythmia, bacteremia, pneumonia, ARDS, thrombosis, and new renal failure requiring HD (Table). Table 1. Patient Characteristics by Death Table 2. Patient Characteristics by Death Table 3. Patient Characteristics by Death Conclusion COVID-19 pts admitted to our southeast U.S. HS had significant comorbidities, most commonly obesity, HTN, and diabetes. Additionally, AA comprised a disproportionate share (72%) of our cohort compared to the general population of our state (30%), those tested in our region (32.9%), and those found to be positive for COVID-19 (35.8%). In-hospital mortality was 19.3% and intubation, particularly if delayed, was associated with death as were several complications, most notably arrhythmia, ARDS, and renal failure with HD. Disclosures All Authors: No reported disclosures

A child with a severe headache: Answers

2021 ◽  
Author(s):  
Leyla Telhan ◽  
Murat Begenik ◽  
Yontem Yaman ◽  
Onder Yavascan
Keyword(s):  
Severe Headache

Association of a Ganglioneuroma with an Arteriovenous Malformation: Case Report

Neurosurgery ◽  
1987 ◽  
Vol 21 (2) ◽  
pp. 241-243 ◽  
Author(s):  
George I. Chovanes ◽  
Raymond C. Truex
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Arteriovenous Malformation ◽  
Ganglion Cell ◽  
Severe Headache ◽  
Second Procedure

Abstract The unusual concurrence of a brain tumor and an arteriovenous malformation (AVM) is discussed in this case report. A 12-year-old child presented with a severe headache, and an intracerebral mass was found on neuroradiological study. At operation, we encountered a superficial AVM, not shown on the computed tomogram or arteriogram. At a second procedure, a ganglioneuroma was removed. The literature on the concurrence of these two entities is reviewed; comments are made on the pathology of ganglion cell tumors.

Paroxysmal localized Hyperhidrosis, a case-report: When excessive sweating occurs in combination with severe headaches

Cephalalgia ◽  
2021 ◽  
pp. 033310242110068
Author(s):  
Marleen H van Coevorden ◽  
Mariëtte WCJ Schoofs ◽  
Jeroen Venhovens
Keyword(s):  
Nervous System ◽  
Case Report ◽  
Autonomic Nervous System ◽  
Diagnostic Testing ◽  
Abdominal Ultrasound ◽  
Severe Headache ◽  
Excessive Sweating ◽  
Autonomic Nervous ◽  
Underlying Disorder ◽  
System Disorder

Background Paroxysmal localized hyperhidrosis is a rare disorder of the central autonomic nervous system. No association between paroxysmal hyperhidrosis and severe headache has been previously described in literature. Case description: A 65-year-old woman with idiopathic paroxysmal localized hyperhidrosis combined with severe holocranial headache attacks is described in this case report. Extensive diagnostic testing by means of laboratory examinations, 24-hour urinalyses, chest X-ray, abdominal ultrasound and computed tomography scans, and brain and spinal cord magnetic resonance imaging could not identify an underlying disorder. A diagnosis of idiopathic paroxysmal localized hyperhidrosis was made, and the patient was successfully treated with clonidine 0.075 mg three times a day, without any side effects. Conclusion Paroxysmal localized hyperhidrosis is a rare central autonomic nervous system disorder that can occur in combination with severe headache. Both the headache and paroxysmal hyperhidrosis complaints were treated effectively with clonidine in the patient described in this case-report.

Factor XIII Deficiency and Intracranial Bleed: Surgical Management and Prophylaxis with Cryoprecipitate

2021 ◽  
Author(s):  
Sunil V. Furtado ◽  
Pranoy Hegde ◽  
Rasmi Palassery ◽  
B. P. Karunakara
Keyword(s):  
Factor Xiii ◽  
Perioperative Management ◽  
Severe Headache ◽  
Resonance Imaging ◽  
Factor Xiii Deficiency ◽  
Limb Weakness ◽  
High Propensity ◽  
Intracranial Bleed ◽  
The Brain ◽  
Fxiii Deficiency

AbstractFactor XIII (FXIII) deficiency is a rare bleeding disorder with affected patients having high propensity for intracranial hemorrhage. A 12-year-old girl presented with severe headache, limb weakness, and rapidly worsening sensorium over 4 days. Magnetic resonance imaging of the brain and computed tomography (CT) of the head showed intraparenchymal bleed. Patient had normal coagulation profile and abnormal FXIII level. The perioperative management included cryoprecipitate transfusion to bring the FXIII value to 74%. She underwent craniotomy and evacuation of the hematoma. Postoperatively, she received prophylaxis against rebleed with cryoprecipitate. In the absence of FXIII concentrate, correction of FXIII deficiency is possible with cryoprecipitate in emergent situations.

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