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Post coital Headache, Clinical manifesttion, Circle of Willis, :warning:…

- - - - 3 aspects of responsiveness
        
        eye opening (4)
        
        verbal responses (5)
        
        motor (6)
        
        -Severe: GCS 3-8
        
        Moderate GCS 9-12
        
        Mild GCSS 13-15
    - - might indicate meningismus, need to rule out
        
        Kernig sign negative
        
        Brudzinski sign negative
  - - - Diagnosis: Subarachnoid haemorrhage
        
        Secondary Headache-
        
        Symptomatic of an underlying pathological cause
        
        Aneurysm (our patient has subarachnoid hemorrhage (SAH)
        
        Re-bleeding
        
        cerbral ischaemia
        
        Death in severe cases
        
        damage to hypothalamus
        
        SIADH & cerebral salt wasting
        
        Hyponatremia
        
        increase in ICP
        
        Obstruction of CSF flow
        
        Hydrocephalus
    - - Saccular aneurysm