guayoman
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63yo pt with 6h history of slurred speech and right hand weakness. PMH: chronic hypertension and MI 2 years ago. Smokes 2 packs/day, alcohol occasionally. VS: BP 165/95
PE: Right hand weakness, mild motor aphasia NO sensory abnormalities.
Which is the most probable cause?
a. Large artery atherosclerosis
b. Cardiac embolus
c. Berry aneurism
d.Hypertension
e. Arterial dissection
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| bozhenka
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C.
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| Alina T
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D. looks like dysartria-clumsy hand syn
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| frontal
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I'll go for Cardiac embolus.
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| AAAAA
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carotid artery thromboembolism
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| achilles
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C-berry's aneurysm ?
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| guayoman
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Good to know that the Forum Elite have te same trouble. ņuk ņuk ņuk
AlinaT you seem to be on fire!
That's the diagnosis. I wanted to bring this Q to te forum because it brings up te subject of lacunar infarcts. There are 4 syndromes.
Can you name and describe them?
with pathophysiology?
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| AAAAA
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I did not assign the status under my name nor do I care (I am here to learn !)
be humble and learn from others
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| AAAAA
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carotid artery thromboembolism can cause a lacunar infarction !
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| AAAAA
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It is the small plaque that causes MI so a small carotid artery thromboembolism can cause a lacunar infarction too !
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