mahendra
Forum Guru
Topics: 173
Posts: 419
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71-year-old man has been in excellent health, and practicing
competently as an attorney. He is brought to the emergency room
following a motor vehicle accident. A workup, including imaging of
the spine, thorax, and head, is negative, but the patient is admitted
for overnight observation. His injuries include several lacerations to
the face and extremities as well as several contusions to the thorax.
Three weeks later, he is admitted to the hospital for confusion.
A neurologic exam is normal except that he is not oriented to time
or place, and can recall only 1 out of 6 objects after 3 minutes.
Which of the following is the most likely diagnosis?
A. Alzheimer's disease
B. Brain metastases
C. Epidural hematoma
D. Normal pressure hydrocephalus
E. Subdural hematoma
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| meg
Forum Guru
Topics: 62
Posts: 806
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subdural
it collects over a period of time and it is more common in elderly because of cortical atrophy and stretching of cerebral veins
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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How will do differentiate it with alzheimers ?
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| meg
Forum Guru
Topics: 62
Posts: 806
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here the attorney has been practising without a mention of deterioration of memory etc. So I doubt if there can be a sudden onset of alzheimer since alzhemire is a slow chronic condition. I dont know about an acute trauma precipitating an alzhiemer
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| asmi
Forum Hero
Topics: 1043
Posts: 4,609
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i agree
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