Podcast 646: Thunderclap Headache, Think...RCVS?

Podcast 646: Thunderclap Headache, Think...RCVS?

Contributor: Aaron Lessen, MD

Educational Pearls:

  • When evaluating a thunderclap headache, don't forget RCVS!
    • RCVS: reversible cerebral vasoconstriction syndrome
    • Due to reversible spasms of cerebral blood vessels
  • Can sometimes be seen on CTA or MRA, but often the imaging is normal and formal angiograms only occasionally show it
  • It can be caused by medications, intense physical activity, orgasm, and postpartum conditions, but the exact etiology is unknown
  • Typically seen in females in their 40s
  • Can result in bleeding, strokes, and seizures
  • There is no good treatment, but stopping the suspected offending agent may help

References

Sattar A, Manousakis G, Jensen MB. Systematic review of reversible cerebral vasoconstriction syndrome. Expert Rev Cardiovasc Ther. 2010;8(10):1417-1421. doi:10.1586/erc.10.124

Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD



Det här avsnittet är hämtat från ett öppet RSS-flöde och publiceras inte av Podme. Det kan innehålla reklam.

Avsnitt(1177)

Podcast 1022: Emergent Dialysis

Podcast 1022: Emergent Dialysis

Contributor: Taylor Lynch, MD Educational Pearls: When a patient who missed dialysis presents to the emergency department, our clinical concern is who needs to be admitted to the hospital for emerge...

21 Sep 4min

Podcast 1021: Pulmonary Edema From Naloxone Administration

Podcast 1021: Pulmonary Edema From Naloxone Administration

Contributor: Travis Barlock, MD Educational Pearls: What is pulmonary edema?  Pulmonary edema is the accumulation of fluid initially in the interstitium of the lungs, that when severe enough can als...

14 Sep 4min

Podcast 1020: Benign Paroxysmal Positional Vertigo (BPPV)

Podcast 1020: Benign Paroxysmal Positional Vertigo (BPPV)

Contributor: Alec Coston, MD Educational Pearls: Benign Paroxysmal Positional Vertigo (BPPV) Common inner ear condition that can cause dizziness Diagnosis of BPPV can help to avoid admissions and ...

7 Sep 6min

Podcast 1019: Trauma Blunt Cardiovascular Injuries (BCVI)

Podcast 1019: Trauma Blunt Cardiovascular Injuries (BCVI)

Contributor: Aaron Lessen, MD Educational Pearls:  Blunt cerebrovascular injury (BCVI) BCVI is a traumatic injury to the carotid or vertebral arteries Patients may initially have no neurologic sy...

31 Aug 3min

Podcast 1018: Occult Ventricular Fibrillation on Echocardiography

Podcast 1018: Occult Ventricular Fibrillation on Echocardiography

Contributor: Aaron Lessen, MD Educational Pearls: Big question in cardiac arrest: is the rhythm shockable? Shockable: ventricular fibrillation (VF) and pulseless ventricular tachycardia Non-sho...

24 Aug 2min

Podcast 1017: CPR Hand Placement

Podcast 1017: CPR Hand Placement

Contributor: Taylor Lynch, MD Educational Pearls:  CPR is an important life-saving measure designed for anyone to perform. Chest compressions works by two mechanisms:  Cardiac pump: Direct squ...

17 Aug 2min

Podcast 1016: Hypokalemia

Podcast 1016: Hypokalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hypokalemia? Hypokalemia is when the measured blood level of potassium falls below 3.5 mEq/L (normal 3.5 - 5.2 mEq/L).  Can generally be ...

10 Aug 6min

Podcast 1015: Calcium in Hyperkalemia

Podcast 1015: Calcium in Hyperkalemia

Contributor: Meghan Hurley, MD Educational Pearls: What is hyperkalemia? Hyperkalemia is when the measured blood level of potassium reaches above 5.2 - 5.5 mEq/L (normal 3.5 - 5.2 mEq/L).  What ar...

3 Aug 7min

Populärt inom Vetenskap

dumma-manniskor
p3-dystopia
rss-mottagningen
allt-du-velat-veta
rss-ronden
kapitalet-en-podd-om-ekonomi
det-morka-psyket
rss-ufobortom-rimligt-tvivel
rss-kriminologerna
bildningspodden
medicinvetarna
svd-nyhetsartiklar
rss-geopodden-2
rss-vetenskapsradion-2
ufo-sverige
rss-spraket
halsorevolutionen
sexet
rss-vetenskapsradion
rss-ai-med-jonas-benjamin