Acute onset headache, fever, seizure:
Correct Answer: Encephalitis
Description: (Encephalitis): Ref: 2480, 88, 247-73-2387-H (2621-22-H17th)Meningitis: - Clinical triad fever headache and nuchal rigidity ("Stiff neck") > 90% of cases* Seizures occurs as part of the initial presentation of bacterial meningitis (20 - 40%) of patients* Kernig's sign and Brudzinski's sign positiveSubarachnoid hemorrhage: -* Most common cause of S AH is rupture of saccular aneurysm* Sudden loss of consciousness, severe headache (generalized, neck stiffness and vomiting/No fever* Common deficits - hemiparesis, aphasia and abulia* Focal deficits frequently absent (995 - CMDT)Migraine: -* Migraine, the most common cause of headache* Headache, nausea, vomiting, photophobia, scalp tenderness is common symptomsEncephalitis: -* Acute febrile illness, meningitis features, confusion, behavioural abnormalities, altered level of consciousness, focal or generalized seizures occurs in severe encephalitis* Focal finding aphasia ataxia, hemiparesis, cranialnerve palcies (ocular palsies, facial weakness) (2480 - H)
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