nausea and vomiting. Also, she was noted to have meningismus on examina puncture was performed to R/O possible rebleed. At the time of the lumbar puncture, CSF in read as consistent with recurrent subarachnoid hemorrhage. A repeat MRI was performed wi of an aneurysm. Procedure: On 7/9/xx, the patient underwent repeat MRI, which again showed no aneurysm. deemed stable for discharge on 7/10/xx. Activity: The patient was instructed to avoid any type of activity that could result in raised press head. The patient was advised that she should undergo no activity more vigorous than walking. Define the following terms Aneurysm option Cerebral MRI Q A M]ugebeuqeu] yeaqua roa N W S X command 3 130 E D 4 C R 70 Howe F LL 5 V T G 6 1 Y B /2 5 PA A N 29 H o 1. K M O 0 V View as Text L ge P command Admitting Diagnosis: Severe headaches associated with nausea and vomiting Discharge Diagnosis: Subarachnoid hemorrhage MOOKIA GO0100 M |uqebeuqeu] Jeaqua rod Howe History of Present illness: Patient is a 61 year old woman who presents at this time complaining of an "extreme severe headache while swimming." She also complains of associated neck pain, occipital pain, nausea, and vomiting. A CT scan was obtained that showed blood in the cisterna subarachnoidalis consistent with subarachnoid hemorrhage. The patient also had mile acute hydrocephalus. Neurologically, the patient was found to be within normal limits. A cerebral MRI was performed, and no aneurysm was noted. 6 A Hospital Course: The patient was hospitalized on 7/5/xx, she had sudden worsening of her headache, associated with nausea and vomiting. Also, she was noted to have meningismus on examination. A lumbar puncture was performed to R/O possible rebleed. At the time of the lumbar puncture, CSF in four tubes was read as consistent with recurrent subarachnoid hemorrhage. A repeat MRI was performed without evidence of an aneurysm. W Procedure: On 7/9/xx, the patient underwent repeat MRI, which again showed no aneurysm. The patient was daamad etable for dierharma on 7/10/vv a 20 S 3 E D ( R F T T G 9 1 /2 Y B H C S A J 20 - K 7:03:09 PM M Connect O .o View as Text V P L 2 wowy that could result in raised pressure head. The patient was advised that she should undergo no activity more vigorous than walking. Define the following terms Aneurysm Cerebral MRI Cisterna subarachnoidalis CSF Hydrocephalus Q A Z ...MOSKIA Cool |wqebeuqeu yeaqua ro 8 6 + 1 8 864 W S X E D C @ R 70 LL % 5 T G 1 Y B /2 15 PA J ve H N K M 10 View as Text V L SP 26 a Hydrocephalus Lumbar puncture Meningismus Occipital R/O a f A N X W S X H ...MOOKIA Cool |uqebeuqeut yeaqua rod 86444 E D C R 70 F Hows % T G O Y B /2 H U N K M O View as Text L 26 P 7 04 1 onnect A 3 command o Subarachnoid potion Answer the following questions A 1. In what part of the head did the patient feel pain? 2. What imaging tests were performed, and what was the finding in each test? F 3. What was the result of the lumbar puncture? 4. What was the result of the repeat MRI? a Z 30 MOGIA Cool - 100 M |uqsbeuqeu, yeaqua rod Howe 29 W S X command 3 E D C ( R 70 F en ge V T G B 12 HA H N - K M O O View as Text V 11 P L 26. A command o Answer the following questions 1. In what part of the head did the patient feel pain? 2. What imaging tests were performed, and what was the finding in each test? A 3. What was the result of the lumbar puncture? Q 4. What was the result of the repeat MRI? a 5. Regarding activity, what limitations were placed on the patient? Mook Cool M |uqebeuqeu] yeaqua rod Howe BEHIN Z 20 W S X commond E D C 6 70 F de in % 5 G 224 6 2 B /2 87 H N L K M O View an Text V 28 P comman