A 23 y female presents to your Emergency Department at 4:30 in the morning. She is complaining of having a headache that started at 3:00AM. She had taken some Motrin for the pain. At 3:15AM, she received a phone call and noticed that when she was talking on the phone she was stuttering. She became scared and soon noticed that she had upper lip numbness as well as R hand numbness. She attempted to read something and found that she had difficulty understanding what she was reading. Her headache wasn’t the worst that she has ever had and came on gradually. She denies fever, chills, nausea or vomiting.
What course of action would you take with this patient? Would you perform an LP? Would you perform a CT scan? Would you first treat and see how she does? Please offer your suggestions regarding management and any supporting articles and reasoning that might help guide a young doc working alone in the middle of the night.