Quest1

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Quest1

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docnikki
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04/14/07 - 08:39 AM

What do you think the answer should be?

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Justice
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04/14/07 - 09:31 AM

Really vague answer choices... confused

Could be (A)

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sprint123
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04/14/07 - 10:52 AM

Diabetes--->Oculomotor palsy--->pupillary reflex should not be affected.Since the questions says-the right pupil is dilated--thinking of an Intra-cranial lesion.

So between A and D---->Diabetes prone for aneurysm--->Intra-cranial aneurysm?????Not pretty sure...

nadiabarati

04/14/07 - 12:46 PM

I guess D

Justice
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04/14/07 - 01:02 PM

sprint123 and nadiabarati,
do you think about rapture of the aneurysm? Note that new symptoms appeared over the last 24 hr. If the aneurysm is ruptured, shouldn't this be accompanied with severe headache, and more general neurological disturbances?

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Justice
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04/14/07 - 01:03 PM

docnikki,
do you have the right answer? I would like to know it after other people take chance to test their knowledge... smiling face

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muna
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04/14/07 - 03:13 PM

sprint123
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04/14/07 - 03:56 PM

Hi justice...I was not thinking of the rupture but the pressure effect of the aneurysm over the III nerve....However-Not sure about that

dr.wad
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04/14/07 - 04:27 PM

docnikki
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04/15/07 - 01:34 PM

#10

sprint 123 is right!! its D.

webjeee
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04/15/07 - 11:23 PM

#11

still didn't get it?
Why not a?
How about the Kaplan explanation?
I didn't have this question in my subscription.

docnikki
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04/16/07 - 06:56 AM

#12

In cavernous sinus thrmbosis there must be retro orbtal headache proptosis chemosis...and here the h/o of migraine indiacte the effect of the aneurysm also fam h/o of kidney dis..think of APKD.

Justice
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04/16/07 - 07:55 AM

#13

docnikki wrote:
In cavernous sinus thrmbosis there must be retro orbtal headache proptosis chemosis...and here the h/o of migraine indiacte the effect of the aneurysm also fam h/o of kidney dis..think of APKD.

Docnikki,
thanks... Now I see clear this clinical picture...

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