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Which of the following is the most likely cause of this patient's condition? A 45-year-old man is brought to the emergency department because of a 6- hour history of severe headache and confusion. He says that it is the worst headache he has ever had. He appears lethargic. His blood pressure is 130/80 mm Hg. Physical examination shows nuchal rigidity. A CT scan of the head without contrast is shown.





A. Diffuse cerebral edema
B. Hydrocephalus
C. Large mass hi the posterior fossa
D. Subarachnoid hemorrhage
E. Subdural hematoma

This question is part of NBME 13 Section 2 (50 questions)
Asked by Chachelly, Last updated: Mar 26, 2020

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2 Answers

L. Sevigny

L. Sevigny, Doctor, Las Vegas

Answered Feb 11, 2019

There are many different kinds of hemorrhages. This means that there are different places in the body that could be hemorrhaging. It is just as scary for a person to be hemorrhaging where the blood is spewing outside of the body as well as inside the body.

If a man who is middle-aged comes into the emergency room complaining of common symptoms, the nursing staff should pay close attention because it could be deadly. If the many has been suffering for several hours because of confusion and headaches, a physical examination is needed.

He may also appear tired and his headache is the worst one he has ever felt. The doctor may conclude after doing a CT scan of the man’s head that it is subarachnoid hemorrhage.

 

John Smith

John Smith

Answered May 06, 2017

Subarachnoid hemorrhage
 

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