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)