Medical and Health Care

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NEUROLOGICAL SYSTEM

01

Headache (Grouped by Type)

Pattern

Consider

Investigations

Pattern

Worst headache of life

Consider

Subarachnoid haemorrhage

Investigations

CT head (non-contrast), LP xanthochromia after 12h

Pattern

Fever + photophobia + neck stiff

Consider

Meningitis

Investigations

CSF gram stain, culture, glucose, protein

50yrs + temple pain + jaw claudication| GCA| ESR >50, CRP, temporal artery biopsy| Focal neurology| Stroke/tumour| CT/MRI brain, coagulation, glucose|

Baseline labs

CRP/ESR, FBC, U&E, LFT and toxicology screen if altered consciousness

02

Seizure

Initial Tests

Purpose

Initial Test

U&E, Ca/Mg, LFT

Purpose

metabolic causes

Initial Test

Blood cultures if febrile

Purpose

sepsis encephalopathy

Initial Test

Toxicology (urine + serum)

Purpose

tramadol/cocaine/alcohol

Initial Test

Prolactin post-event

Purpose

supportive only

Escalation

CSF if CNS infection suspected

EEG + MRI for epilepsy mapping