Subarachnoid Hemorrhage Flashcards

1
Q

Where is a subarachnoid hemorrhage

A

Subarachnoid space

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2
Q

Causes of subarachnoid hemorrhage

A

Trauma
AVM
Blood thinners
Idiopathic
Cerebral aneurysm
Bleed without identified aneurysmal bleed

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3
Q

Clinical Findings of a SAH

A

Thunderclap headache
Dizziness
N/V
Diplopia
Seizures
Cranial nerve palsies
Nuchal rigidity
Decreased LOC

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4
Q

What does a CT head show in SAH

A

Hyper-densities

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5
Q

What are other tests to order if SAH is non-traumatic

A

CTA of head/neck
MRI head/neck
Cerebral angiogram of head/neck

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6
Q

What lab work should be ordered in SAH

A

LP: xanthochromia
CBC, PT/INR, BMP

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7
Q

What is the treatment plan for SAH

A

Reverse anticoagulation
ICP monitoring
EVD
Monitor for brain swelling
Repeat imaging
Consult neurosurgery

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