MEDizzy
MEDizzy
Medicalcortex
Medicalcortexover 7 years ago
This question will try to trick you!!

This question will try to trick you!!

A 73-year-old man who is a chronic alcoholic is brought to the Emergency Department by an ambulance. He was found collapsed in the street. On admission his airway, breathing and circulation are satisfactory. His GCS is 13/15 (eyes = 3, verbal = 4, movement = 6) although his level of consciousness appears to be fluctuating. There are no obvious signs of external head injury. A CT head (without contrast) is performed: What is the most likely diagnosis? A-Subarachnoid haemorrhage B-Wernicke's encephalopathy C-Subdural haematoma D-Meningioma E-Extradural haematoma

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over 7 years ago

Chronic Subdural haemorrhage 🤔

over 7 years ago

Punch drunk syndrome - seen in alchoholics and boxers

over 7 years ago

There is repeated minor trauma fpr a period of time leading to chronicSDH.

over 7 years ago

C

over 7 years ago

A

over 7 years ago

not sub arachanoid hemorhage becuase it does not create a space occupying image not meningioma becuase of no edema in the picture and no mass sub dural fits because of the concave border, epidural will have convex

over 7 years ago

yup, its great thing to exclude answers before giving the right one, this shows that you know all about other options, this is also a chronic SDH

over 7 years ago

Thanks for the explanation!

over 7 years ago

Subdural haematoma!

over 7 years ago

SDH-C

over 7 years ago

C

over 7 years ago

C

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