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History Sudden and maximal in onset Compared to previous headaches Family history of aneurysm Associated Symptoms Photophobia Visual Changes Neck Stiffness Exam Full neuro examination Cranial nerves Visual fields Speech Cerebellar (finger-nose) Motor Sensation Gait Testing Plan Non-contrast head CT Excellent sensitivity <6 hours from onset Lumbar puncture >100 RBCs in tube 4 Can be […]

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The 4 Most Common Causes of Blood in Diaper Urinary crystals Will be guaiac negative Common in first few weeks of life Vaginal bleeding Common in newborn females as they withdraw from maternal estrogen Maternal blood Swallowed during birthing process Breastfeeding with cracked/bleeding nipples Anal fissures Common and will improve on its own Basic Approach […]

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Consider In High Risk Patients Alcoholics GI disorders Eating disorders Starvation/poor diet Extremes of age Thiamine (B1) deficiency Causes damage to neurons and cardiac myocytes Manifestations Dry beriberi Neuropathy Paresthesias Wernicke’s encephalopathy Ophthalmoplegia Ataxia Altered mental status Korsakoff syndrome Ophthalmoplegia, ataxia, altered mental status PLUS Confabulation Memory loss Wet beriberi Heart failure from cardiac damage […]