Posts Tagged ‘Headache’

A Man with Sickle Cell Disease and Headache

Posted by • April 1st, 2016

Approximately 17% of patients with sickle cell disease have cerebrovascular symptoms; 75% of those patients have cerebral infarction, 20% have either cerebral or subarachnoid hemorrhage, and a small percentage have cerebral sinovenous thrombosis. A 22-year-old man with sickle cell disease presented with headache and difficulty speaking after smoking marijuana. He had anomia, apraxia, and alexia and was… Read More…

A Woman with Headache and Fever

Posted by • April 9th, 2015

In the latest Case Record of the Massachusetts General Hospital, a 28-year-old woman was seen in the emergency department of this hospital because of the acute onset of headache, fever, rash, and myalgias. On examination, she had petechiae on the chest, abdomen, and thighs and a purpuric lesion on the right shoulder. Neisseria meningitidis is the… Read More…

Take the Case Challenge: A Woman with Headache, Fever, and Rash

Posted by • March 26th, 2015

A 28-year-old woman presented with headache, fever, and a rash, plus nausea and one episode of nonbloody, nonbilious emesis. The skin lesions were small, red, flat, nonpruritic, and nonpainful. What is the most likely diagnosis? What diagnostic tests are indicated? Read the case description. Then vote and comment about what the diagnosis may be and what… Read More…

19-Year-Old Woman with Headache, Fever, Stiff Neck, and Mental-Status Changes

Posted by • June 20th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 19-year-old woman was admitted to the pediatric ICU because of a headache, fever, photophobia, neck stiffness, and mental-status changes. She was drowsy and disoriented with respect to year. She had truncal ataxia and rotatory nystagmus, and her face and right arm were numb. In a… Read More…