Clinical Overview
Sally Horton — Neurological Assessment
Sally Horton presents with sudden onset severe headache described as "the worst of her life," neck stiffness, photophobia and vomiting beginning approximately two hours ago at rest. The Shadow Health Neurological Assessment covers an emergency neurological interview, cranial nerve examination (CN I–XII), motor and sensory testing, cerebellar function, Kernig's and Brudzinski's signs for meningeal irritation and Glasgow Coma Scale assessment. Differential diagnosis addresses subarachnoid haemorrhage, bacterial meningitis and hypertensive emergency. The urgent management plan includes CT head, lumbar puncture consideration, neurosurgery referral and blood pressure management.
What this case guide reviews
- ✓Emergency neurological interview
- ✓Cranial nerve examination CN I–XII
- ✓Meningeal irritation — Kernig and Brudzinski signs
- ✓Glasgow Coma Scale assessment
- ✓Differential — SAH vs meningitis vs hypertensive emergency
- ✓Emergency CT and neurosurgery referral plan
- ✓EHR Provider Notes — student and model
Primary Diagnosis
Suspected subarachnoid haemorrhage — emergency CT and neurosurgery referral
Used In
South University, GCU, Aspen University and other BSN programs