Condition Info - BotMed Application

ConditionName

Subarachnoid Hemorrhage

ConditionDescription

Symptoms

Sudden onset of severe headache “Worse headache in my life” with meningeal irritation (stiff neck, photophobia); 
Fever; 
Loss of consciousness in 50% - rupture of aneurism, cerebral perfusion decreased; 
Focal neurological complications in 30%

PhysicalFindings

ClinicalTests

Best initial test: CT without contrast

Most accurate test: Lumbar puncture showing blood (only necessary for 5% false negative CT) – may be negative in the beginning
Normal WBC/RBC ratio
WBC can mimic meningitis. But RATIO IS NORMAL:
1 WBC for every 500 to 1000 RBCs.

Angiogram – shows where is the problem?

RiskFactors

MAKE an SAH;
Marfin Syndrome;
Aortic coarctation;
Kidney dz (autosomal dominant, polycystic);
Ehlers-Danlos syndrome;
Sickle cell anemia;
Atherosclerosis;
Family history

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

Surgical clapping

PharmOptions

WebLink

https://www.merckmanuals.com/en-ca/professional/neurologic-disorders/stroke/subarachnoid-hemorrhage-sah