• Emerg. Med. Clin. North Am. · May 2020

    Review

    High-Risk Chief Complaints III: Neurologic Emergencies.

    • Danielle E Smith and Matthew S Siket.
    • Robert Larner College of Medicine of the University of Vermont, 89 Beaumont Avenue, Burlington, VT 05405, USA.
    • Emerg. Med. Clin. North Am. 2020 May 1; 38 (2): 523-537.

    AbstractA careful history and thorough physical examination are necessary in patients presenting with acute neurologic dysfunction. Patients presenting with headache should be screened for red-flag criteria that suggest a dangerous secondary cause warranting imaging and further diagnostic workup. Dizziness is a vague complaint; focusing on timing, triggers, and examination findings can help reduce diagnostic error. Most patients presenting with back pain do not require emergent imaging, but those with new neurologic deficits or signs/symptoms concerning for acute infection or cord compression warrant MRI. Delay to diagnosis and treatment of acute ischemic stroke is a frequent reason for medical malpractice claims.Copyright © 2020 Elsevier Inc. All rights reserved.

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