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Rapidly evacuate a patient with a headache if the headache _______.

1) is accompanied by nausea, vomiting or diarrhea
2) is sudden, severe or is associated with altered mental status
3) is associated with a low grade fever, malaise and muscle aches
4) includes a sore throat and cough

1 Answer

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Final answer:

Patient evacuation for a headache is critical when it is sudden, severe or paired with altered mental status. Other serious symptoms include a stiff neck, confusion, and fever, indicative of significant health concerns like meningitis or hemorrhagic stroke. Less urgent symptoms like muscle pain may not necessitate immediate evacuation but should be monitored.

Step-by-step explanation:

Rapidly evacuating a patient with a headache is warranted when the headache is sudden, severe or is associated with altered mental status. Headaches of this nature may indicate a serious underlying condition such as a hemorrhagic stroke, meningitis, or encephalitis, where quick medical intervention is essential. Headaches accompanied by nausea, vomiting, or diarrhea can also suggest more severe issues like gastrointestinal infections, whereas a headache with a low-grade fever and malaise might be associated with a viral infection but may not require immediate evacuation. A headache including a sore throat and cough is typically related to respiratory infections and may not be emergent.

Important to note are the symptoms that usually accompany more critical situations, such as a stiff neck, confusion, loss of balance, convulsions, and fever. These can signify meningitis or other neurological emergencies requiring immediate attention. Moreover, the presence of symptoms like photophobia (light sensitivity), rash, motor coordination issues, and breathing problems can also indicate severe infections or complications. Milder symptoms, such as constipation or muscle pain, commonly associate with less urgent headaches but should still be observed closely.

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