AMS
UnFiNiShEd CaSe CoMe BaCk LaTeR
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History: A 72-year-old male with a history of bradycardia and TIA is transported from SNF for altered mental status. He looks at you but cannot give any history
Exam: Vital signs are normal except for a pulse of 40 and a temperature of 85. He is altered. On the monitor he appears to be in atrial fibrillation with rates between 32 and 60. BP is 122/66
Initial differential diagnosis: stroke, medications toxicity, myxeda,
- Labs: platelets 22K
- EKG: sinus brady at 40 with Osborne wave
- Imaging: see below
QUESTIONS:
- What does the case image show? A layering intraventricular bleed
- What should you do next? Consult neurosurgery, consider platelet transfusion
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
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ANSWERS:
- What does the case image show? The image shows .
- What should you do next? Treat with. Consult.
- Want a 1-minute consult/tutorial on this case? See yellow area from sample page below.
- Want to know what happened with this patient? See case conclusion below tutorial page.
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CASE CONCLUSION: We’ll just have to see