healthCJ. is a 48-year-old concert pianist. Before her performance this evening, she told a friend that she was experiencing what she called "the worst headache I've ever had" and that she had taken two extra strength acetaminophen (Tylenol ES), but they "didn't touch my headache." During her performance, she stopped playing, reached up, grasped her head, and then fell unconscious. When the paramedics arrived, she was intubated and an intravenous (IV) line was started with normal saline. \
On arrival at the emergency department, she has a Glasgow Coma Scale (GCS) score of 3. Her husband reports a history of hypertension and states she recently quit taking her medication because it made her feel tired. She is trying to quit smoking; she has cut down to a half pack of cigarettes per day, she drinks alcohol only socially on weekends, and she has a remote history of cocaine use. He says that she has complained of worsening, intermittent headaches for the past few weeks. \
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