55-year-old Woman with Headache, Vomiting, and Visual Disturbance

CASE PRESENTATION: A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a l...

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Detalles Bibliográficos
Autores principales: Shaker, Lana, Ripper, Jill, Murano, Tiffany
Formato: Online Artículo Texto
Lenguaje:English
Publicado: University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020
Materias:
Clinicopathological Case
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219986/
https://www.ncbi.nlm.nih.gov/pubmed/32426650
http://dx.doi.org/10.5811/cpcem.2019.12.45546
Descripción
Sumario:CASE PRESENTATION: A 55-year-old woman with a past medical history of hypertension, hyperlipidemia, and iron deficiency anemia presented to the emergency department with three days of headache, nausea, vomiting, and visual changes. Her vital signs were within normal limits. She was noted to have a left cranial nerve six palsy on exam. RESULTS: Her laboratory testing revealed leukocytosis, hyponatremia, and hypokalemia. A non-contrast computed tomography scan of the head revealed an enlarged sella turcica and pituitary gland with hemorrhage and deviation of the optic chiasm. CONCLUSION: Her symptoms improved and she was discharged from the hospital in stable condition.

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