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Episode 258: Spaced Learning Series – Pulmonary Granulomas, Headache, and Hyponatremia

The Clinical Problem Solvers

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What Is a Secondary Headache?

The patient is a young woman with no significant past medical history, who presented initially with b symptoms notable for weight loss, cough, fevers, headache and malays. The underlying presence of an infection such as t b is a huge red flag in the context of a secondary headache since she is at high risk for developing sequele including meningitis and sephalitis or a brain abscess. Unfortunately, this patient not only has head aches, but also convulsions and irrelevant talking.

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