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Emergency Medicine Journal 2008;25:394
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.

EMERGENCY MEDICINE QUESTIONS (EMQ)

Emergency Medicine Questions (EMQ)

464

The first 150 words of the full text of this article appear below.

COORDINATOR: LOUISA MITCHELL

Theme: Neurology

QUESTION 1

Which of the following statements regarding subarachnoid haemorrhage are true?

  1. A history of sentinel headache (a "warning leak") is of little value in the clinical diagnosis of subarachnoid haemorrhage.
  2. Computed tomography diagnostic sensitivity increases with time from onset of symptoms.
  3. Volume expansion is effective in preventing secondary ischaemia.
  4. The mortality of subarachnoid haemorrhage is approximately 30%.

QUESTION 2

Which of the following statements regarding lumbar puncture in the investigation of subarachnoid haemorrhage are true?

  1. Lumbar puncture should be undertaken approximately 6 h from headache onset.
  2. A 22 gauge atraumatic (Whitacre) spinal needle is less likely to cause post-procedural headache.
  3. Spectrophotometry is recommended in preference to visual inspection of cerebrospinal fluid, to permit the detection of small amounts of xanthochromia.
  4. A decreasing red blood cell count between the first and last specimens collected during lumbar puncture reliably differentiates traumatic tap from a true subarachnoid haemorrhage.

QUESTION 3

Which of the following statements regarding . . . [Full text of this article]


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Emerg. Med. J. 2008 25: 464. [Extract] [Full Text] [PDF]

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Official journal of British Association for Immediate Care: BASICS, Faculty of Pre-Hospital Care, Irish Society for Immediate Care and Swedish Society for Emergency Medicine: SweSEM

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