Curriculum Block

Objectives

• To practice a history and physical exam for headache, with focus on screening neurological exam and meningismus signs.
• To review primary versus secondary headache disorders, and important red flags for headache (using SNNOOP10 mnemonic).
• To practice using likelihood ratios from the JAMA Rational Clinical Exam Article Does This Adult Patient Have Acute Meningitis to formulate a post-test probability of acute meningitis in this case.
• To review clinical factors which would prompt a CT Scan before Lumbar Puncture (using FAILS mnemonic).
• To discuss initial next steps in management including investigations in workup for acute meningitis, and empiric antibiotics.
• To review confidentiality as it pertains to mandatory reportable communicable diseases in this case.

Assessments

• OSCE #2

• Integration Foundation Clinical Skills

Tags

1. Obtain a history and perform a physical examination adapted to the patient’s clinical situation General Physical Examination Host Defense and Neoplasia Integration Foundation Part 5 Week 2 IF Week 2 Family medicine Neurology Physical Examination Headache 1.1 Gather essential and accurate information about patients and their health through history-taking, physical examination, and the use of laboratory data, imaging, and other tests. Clinical Competence [I02.399.630.210] Headache [C10.597.617.470] Headache [C23.888.592.612.441] Headache [C23.888.646.487] Meningitis [C10.228.228.507] Meningitis [C10.228.566] Physical Examination [E01.370.600]