What is the chief complaint of a hemorrhagic CVA?

• A. Chest pressure
• B. Sudden onset headache
• C. Dizziness
• D. Visual disturbances

Answer: (B)

In the context of a hemorrhagic cerebrovascular accident (CVA), or stroke, the chief complaint is typically a sudden onset headache. This intense headache is often described by patients as the worst headache of their life and can occur suddenly, distinguishing it from headaches that develop gradually over time. A hemorrhagic stroke occurs when a blood vessel in the brain bursts, leading to bleeding in or around the brain, which irritates the surrounding tissues. This irritation manifests as a severe headache.

Other symptoms may accompany the headache, such as confusion, weakness, numbness, or difficulty speaking, but the sudden and severe headache is a hallmark symptom that prompts individuals to seek immediate medical attention. While options such as chest pressure, dizziness, and visual disturbances can be associated with various neurological or cardiovascular conditions, they are not specific to a hemorrhagic CVA, making them less likely as the chief complaint in this scenario. The sudden onset headache is the most characteristic symptom that signals the occurrence of a hemorrhagic stroke and warrants urgent evaluation.