Category: Neurology

Acute Stroke

Whilst on call or in A&E you may be asked to assess somebody who is suspected to have had a stroke. This is a very brief overview that gives you an approach to managing a patient in this setting. Before considering treatment options, it is important to remember that there are two causes of stroke:

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Headache

Acute headache is a common complaint that you’ll see whilst on the wards or in the acute take. Although most causes of headaches are completely benign, the scope article is to help you identify which headaches may have life-threatening or permanent consequences if missed. You will not be expected to manage most of these serious

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Delirium

Acute confusion, otherwise known as delirium, is very common in hospitals: 20-30% on medical wards, and between 10-50% of those that have surgery develop delirium. Types of Delirium Hyperactive – agitated, delusions, hallucinations, aggression Hypoactive – harder to spot – lethargy, psychomotor retardation, excessive sleeping, inattention – often misdiagnosed as depression Mixed Predisposing factors Previous

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