Case 19-2014: 19-Year-Old Woman with Headache, Fever, Stiff Neck, and Mental-Status Changes Mark P. Gorman, M.D., Sandra P. Rincon, M.D., and Virginia M. Pierce, M.D
Presentation of Case a 19-vear -old woman headache, fever, photophobia, neck stiffness and mental- status changes
Presentation of Case • a 19-year-old woman • headache, fever, photophobia, neck stiffness, and mental-status changes
Presentation of Case Before admission headache and reportedly vomited and nausea developed fainted after standing up 7 6 was seen at the emergency department of a hospital in Massachusetts
Presentation of Case headache and nausea developed was seen at the emergency department of a hospital in Massachusetts reportedly vomited and fainted after standing up -7 -6 -4 Before admission
Presentation of Case -6 days The physical examination and laboratory test results were normal Intravenous fluids and ketorolac were administered. with improvement a diagnosis of tension or migraine headache was made She returned to her college dormitory
Presentation of Case • -6 days • The physical examination and laboratory test results were normal. • Intravenous fluids and ketorolac were administered, with improvement. • A diagnosis of tension or migraine headache was made. • She returned to her college dormitory
Presentation of Case Before admission headache and reportedly vomited and nausea developed fainted after standing up 7 6 was seen at the emergency department of a hospital in Massachusetts
Presentation of Case headache and nausea developed was seen at the emergency department of a hospital in Massachusetts reportedly vomited and fainted after standing up -7 -6 -4 Before admission