The medical history represents an important component in the diagnosis of subarachnoid hemorrhage (SAB).
The patient is admitted to the hospital as a medical emergency. If the patient is unresponsive, the case history must be taken with relatives or contacts (= external case history).
Family history
- Are there frequent cardiovascular diseases, neurological diseases or tumor diseases in your family?
Current anamnesis/systemic anamnesis (somatic and psychological complaints) (usually an external anamnesis is taken).
- Was there an accident?
- Has the patient suffered from a sudden onset of a very severe headache?
- Did the patient complain of neck stiffness?
- Was or is there unconsciousness?
- Were or are there other symptoms such as nausea, vomiting?
- Did epileptic seizures (convulsions) occur?
- If yes, how long have these symptoms existed or did they occur abruptly?
- Have these symptoms occurred before?*
Vegetative anamnesis including nutritional anamnesis.
- Do you smoke? If yes, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs and how often per day or per week?
Self-history
- Pre-existing conditions (hypertension/high blood pressure).
