I hear an echo
UnFiNiShEd CaSe CoMe BaCk LaTeR
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
History of Present Illness:
A 62-year-old female with a history of HTN and DM presents to the ED for her voice sounding like it is echoing in her head when she talks for the last 2 days associated with constant mild left leg numbness but no weakness. She denies any trouble with vision or speech, headache or other complaints.
Vital Signs & Physical Exam:
Vital signs are normal except for BP of 198/110. Physical exam is notable for an accent and diminished subjective sensation to the left leg.
Initial Differential Diagnosis:
- Stroke
- Ear wax
- Anxiety
Initial Diagnostic Testing:
- EKG: normal
- Labs: glucose 315, otherwise unremarkable
- Imaging: see below
QUESTIONS:
- What does the case image show?
- What should you do next?
- Want a 1-minute consult/tutorial on this case?
- Want to know what happened with this patient?
SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT
<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>
******************************************************************************
THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA
Get one of our publications, all designed specifically for Emergency Care Providers:
-
Tarascon Emergency Department Quick Reference Guide, 2nd edition
-
Emergency Medicine 1-Minute Consult Pocketbook, 5th edition (NEW)
-
A to Z pocket EM Pharmacopoeia, 4th ed (BRAND NEW)
*****************************************************************************
<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>
ANSWERS:
- What does the case image show? SMALL RECENT INFARCTION OF RIGHT UPPER/MID PONS. POSSIBLE FEW MICROHEMORRHAGES.
- What should you do next? Consult neurology and admit.
- 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.
1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook
CLICK HERE TO LEAR MORE ABOUT THIS BOOK
CASE CONCLUSION: Admitted. Symptoms mostly resolved by discharge home 3 days later.