57 Y/O F sudden severe head ache, on scene had a GCS of 10, | Figure 1

medicfire91

Paramedic

57 Y/O F sudden severe headache, on scene had a GCS of 10, vomited, full right sided paralysis. Couldn't get an initial BP, finally got one at the hospital BP was 236/108.

Why you should join Figure 1

Similar cases

[

77 y/o F c/o sudden onset "worst headache of [her] life." L-sided weakness and facial droop, PERL. Hx of HTN and unknown cardiac, unknown meds. BP 230/112, HR 58. Suspect hemorrhagic #Stroke. What do you see in the ECG? (Ignore the pen mark above the arrow).](https://app.figure1.com/case-detail/089a5289-87e6-44b1-b209-d6df9b136037)



40's year old motorcycle crash. Moderate speed (~40 mph), no helmet. Initial GCS 10, Pupil asymmetry, right pupil 5 mm sluggish, left pupil 2 mm sluggish. Taken to OR for right hemicraniectomy. In first picture, you can see how red the brain is (subarachnoid hemorrhage). In second picture, you can see the degree of cerebral edema by how far apart the dural edges are. There is a dural graft substitute that is underneath the native dura. Pt was extubated on POD #3, continued pupil asymmetry, mild left arm weakness. Plans to go to neurocognitive rehabilitation and cranioplasty in several weeks.](https://app.figure1.com/case-detail/5472ed09-3053-4349-af05-73f6997b63b3)



51yrs old female, presented with decreased level of consciousness since yesterday with one episode GTCS,O/e -GCS - E1V2M3,BP - 140/90mmhg,Pupils - B/l 4mm SRTL.WHAT ABNORMALITY SEEN IN CT HEAD??](https://app.figure1.com/case-detail/67093f0f-c52f-4bce-9810-8f7db4080a60)



58 yo female c/o headache and N/V, BP upon arrival 242/166 HR 130's, CT showed image above #Subarachnoid-hemorrhage #deathstar](https://app.figure1.com/case-detail/6e343da5-0abb-4666-a5fe-57412e4ed5b9)



A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)



A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)



A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)



patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)