Tuesday Case Study 26072016Created by:
Middle aged woman, with background history of type 2 diabetes mellitus, hypertension, increased body mass index, was admitted due to 1 day history of severe headache of the left side. There was a gradual on-set of left sided headache in the morning, occured intermittently, became worsening to around 8-9 out of 10, towards the evening time. There was an query/possible epsiode of transiet left sided weakness in the morning. There were no neck stiffness, no photophobia, no chest or unrinary symptoms, no visual symptoms, On admission, she did has 1 occasion of spike of temperature to around 38 celcius. Cardiovascular, respiratory, neurology and abdominal examnaiton was normal. Normal chest x ray, and urine dipstick. What are your approach of investigation and management ?