TCH lokin ver

Question 1

discuss TCH

Answer 1

very sever and abrupt

reaches max in < 1min

medical emergency consider lumbar tap and CT scan

Question 2

discuss subarachnoid hemmorhage

Answer 2

50% of SAH present with TCH

assoc c:
- Impaired consciousness
- neck stiffness
- nausea/vomiting
- Valsalva before TCH
- high BP
- occipital headache
- smoking

lumbar tap if CT negative