Round 7 (Headache)

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction Just a routine day at your hospital, your next patient has a chief complaint of headache… Initial Vitals * Temp 98.8* HR 88* RR 16* BP 130/80* O2 99% Critical Actions * Identify Acute Angle Closure Glaucoma* Initiate Appropriate Treatment for Acute Angle Closure Glaucoma* Emergent Consult to Ophthalmology* Recheck Intra-Ocular Pressure After Initiating Treatment Dangerous Actions * Giving NSAIDS (The Patient Had This on Allergy List)* Performing a Lateral Canthotomy Final Diagnosis Acute Angle Closure Glaucoma Tips and Tricks Do not be surprised or scared when an examiner has a monotone voice and flat affect Additional Reading * Management of acute angle closure glaucoma (PubMed)* Basic approach to eye complaints (EM Clerkship)