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Week 13

 

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Quiz 13 Context:

A 64-year-old man presents to the emergency room after awaking with an acute change in sensory perception. Specifically he complains of the loss of all feeling along his left side.

Past medical history is significant for poorly controlled hypertension. Social history confirms cigarette smoking.

Physical examination is most remarkable for a somewhat decreased level of consciousness. The patient tends to maintain his gaze towards the left and slightly downward. There is pansensory loss over the left side of the body.

An unenhanced CT scan of the head is performed and is shown above.

This is most consistent with which of the following?

  1. Hemorrhagic stroke
  2. Complex migraine
  3. Subdural hematoma
  4. Embolic stroke
  5. Normal pressure hydrocephalus

 

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Copyright © 2000-2011 The Cleveland Clinic Foundation. All Rights Reserved.
Center for Continuing Education | 9500 Euclid Avenue, KK31, Cleveland, OH 44195