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Headache — suspected subarachnoid haemorrhage

PLAB 2 & PRES 3 · neurology · hard · 10 minutes

Candidate brief

Ms Patel, 42, attends the ED with a sudden-onset severe headache that started while gardening. Take a focused history, examine her briefly, and outline your plan.

What examiners look for

NICE CKS Headache – assessment: thunderclap headache must rule out SAH with CT <6h; if >6h and negative, consider LP for xanthochromia.

Guideline references

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