A 56-year-old woman is brought to the ED after collapsing at…
A 56-year-old woman is brought to the ED after collapsing at home. She is diagnosed with hemorrhage following rupture of a cerebral aneurysm in the anterior circulation. The hemorrhage is confirmed on CT of the head, and the decision is made for the patient to undergo endovascular coiling rather than surgical clipping. Approximately one week after the initial bleed, she experiences an acute decline in mental status, and magnetic resonance imaging confirms a new infarct in the left posterior cerebral artery territory. Based on the history and time course, what medication could have prevented this complication?
Read DetailsA 70 year-old woman with a history of breast cancer is broug…
A 70 year-old woman with a history of breast cancer is brought to the ER for inability to move her legs and urinary and bowel incontinence for two days. She has been having mid-back pain for several weeks. Prior to the onset of the symptoms, she experienced severe pain in the mid-back. On the exam, she had significant weakness of both lower extremities and was unable to feel pain up to the level of the umbilicus. She had extensor plantar response and increased reflexes of the lower extremities. What is the level of the lesion?
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