PreTest Emergency Medicine by Adam J. Rosh

Author:Adam J. Rosh
Language: eng
Format: epub
Publisher: McGraw-Hill Education
Published: 2021-08-15T00:00:00+00:00

(Reproduced with permission from Schwartz DT, Reisdorff EJ. Emergency Radiology. New York, NY: McGraw Hill, 2000:430.)

a. Central nervous system (CNS) toxoplasmosis

b. Subdural hygroma

c. Glioblastoma multiforme

d. Brain abscess

e. Subarachnoid hemorrhage (SAH)

323. A 68-year-old man presents to the ED complaining of a daily headache for almost a month. He describes the headache as being dull, difficult to localize, most intense in the morning, and abating in the early afternoon. He also noticed progressive weakness of his right upper and lower extremity. Which of the following is most likely responsible for this patient’s symptoms?

a. Intracranial neoplasm

b. Cluster headache

c. Tension-type headache

d. Idiopathic intracranial hypertension (IIH)

e. Waking or morning migraine

The following scenario applies to questions 324 and 325.

A 75-year-old man presents to the ED with a depressed level of consciousness. His wife is at the bedside and states he was stacking heavy boxes when he complained of a sudden intense headache. He subsequently sat down on the couch and progressively lost consciousness. She states that he had a headache the previous week. He had gone to visit his primary care physician who sent him to have a CT scan of the brain, which was normal. Over the course of the past week, he complained of intermittent pulsating headaches for which he took sumatriptan. In the ED, you intubate the patient and obtain the noncontrast head CT seen in the figure.

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