Summary Writer: Katherine Spira
Script Writer: Jane McDonnell
Editor: Katherine Spira
Interviewee: Katherine Spira
James speaks to Dr Katherine Spira about headache, a very common presentation, in the Emergency Department and how to manage an atypical presentation.
Katherine is a neurologist working in private practice and at Prince of Wales Hospital, New South Wales, Australia. She has special interests in Headache and Obstetric Neurology. She completed her training in February 2018, having previously worked as a Junior Medical Officer at Liverpool Hospital, a Basic Physician Trainee in the Prince of Wales Network, and an Advanced Trainee at Blacktown, Prince of Wales and Royal Prince Alfred hospitals. Katherine loves looking after patients, medical education and being a mum to two beautiful baby girls.
With Dr Katherine Spira, Neurologist at Prince of Wales Hospital, New South Wales, Australia
Case 1 – An 82 year old man presents with a 2 week history of a right-sided headache and feeling unwell. At the beginning of the headache he saw some rainbow lights in his right visual field which have come and gone throughout the episode. The headache is there constantly, varying between a dull ache and a severe throbbing pain. Part of his head is very sensitive to touch. It is always on the right side, as is the visual disturbance. There is no photophobia, phonophobia or osmophobia, nor any nausea or vomiting. He had two migraine headaches in high school with visual disturbances, nausea and photophobia but he hasn’t had a headache since then.
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