Summary
Timeline
Encounter
History
Vitals & Exam
Assessment
Orders
Lab Results
Radiology Results
Medications
Notes
Care Plan
Discharge
Documents
Active Problems
- Subarachnoid Hemorrhage (2026-08-13)
- Hypertension (2018)
- Type 2 Diabetes Mellitus (2015)
Current Medications
- Amlodipine 5mg — OD since 2018
- Metformin 500mg — BID since 2015
Upcoming Appointments
- Neurosurgery Consultation
Pending scheduling — requested 2026-08-13 - OPD Follow-up — General Medicine
2026-08-27, Dr. Meera Nair
Current Encounter
Chief Complaint
Sudden severe headache, worst-of-life, with brief loss of consciousness
Recent Vitals
BP 168/98 mmHg · Pulse 92 bpm · Temp 98.4°F · SpO₂ 97%
Assessment
Acute subarachnoid hemorrhage, right Sylvian fissure, Fisher grade 3 — recommend urgent neurosurgical consultation and serial neurological observation.
Plan
Urgent neurosurgery referral; blood pressure control (continue Amlodipine); serial GCS/neuro checks; bed rest.
Recent Results
| Result | Value | Flag | |
|---|---|---|---|
| CBC — Hemoglobin | 10.2 g/dL | Low | View |
| CT Brain Without Contrast | Acute subarachnoid hemorrhage | Critical | View |
Recent Diagnoses
- Subarachnoid Hemorrhage (2026-08-13)
- Hypertension (2018)
- Type 2 Diabetes Mellitus (2015)