Clinical Practice and Cases in Emergency Medicine (Aug 2018)

Patient with a Subarachnoid Headache

  • Ethan T. Montemayor,
  • Brit Long,
  • James A. Pfaff,
  • Gregory P. Moore

DOI
https://doi.org/10.5811/cpcem.2018.5.38417
Journal volume & issue
Vol. 2, no. 3

Abstract

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Subarachnoid hemorrhage (SAH) is a life-threatening cause of headache. The diagnostic approach to this entity continues to evolve with a recent questioning of the classic workup of computed tomography and lumbar puncture. We report a risk management case of a patient with a missed SAH resulting in a fatal outcome. When there are multiple diagnostic strategies, the patient may be involved with shared decision-making. Some of the medical and legal implications of the diagnosis of SAH will be discussed.