Headache andHeadache andDizzinessDizzinessContinuing Clinical EducationEmergency Department

Case PresentationCase Presentation37 year old femaleCC: Headache occipital

area; PS = 6/10Hx: 5 days PTC (+)

headache at occipital area; 2 episodes of vomiting; (+) dizziness

Persistence of symptoms caused patient to seek consult: (-) one-side weakness, (-) blurring of vision

Case PresentationCase PresentationV/S : T=36 °C, PR= 102, RR= 21,

BP=158/105, PS = 6/10PMHx: HTN, HyperthyroidismNormal PEEtorixocib 120 mg given POBP monitoring done: 140/90

130/90Dx: Hyperthyroidism, Vascular

HeadacheDischarged with V/S: T=36.1 °C, PR=

84, RR= 20, BP=130/90, PS = 0/10

Case PresentationCase Presentation59, FemaleCC: Spinning

SensationHx: Upon

waking up, complained of dizziness, spinning in character aggravated by movement

Case PresentationCase PresentationHx: No focal weakness, numbness,

chest pain, (+) nausea, no vomitingV/S : T=36 °C, PR= 84, RR= 21,

BP=180/120, PS = 6/10GCS 15 (E4, V5, M6); Pupils 2-3 cm

ERTL, EOM intact, no facial asymmetry, tongue midline, no Babinski; no motor/sensory deficit

ECG, Serc 16 mg tab PO, Plasil 10 mg IV

Case PresentationCase PresentationBP monitoring every

15 minutes◦150/100◦150/100◦140/90

Dx: BPPV, Hypertension Stage II

DischargedTake home meds:

◦Serc 16mg tab TID◦Clonidine 75mcg tab

SL for SBP > 160 mmHg