silver
Forum Guru
Topics: 21
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56 yr. old woman with history of rheumatic heart disease is involved in automobile accident. Following emergency surgery and repair of duodenal injury, the patient stabilizes. 48 hours later, patient becomes progressively febrile and exhibits subtle neurologic deficits especially with spatial recognition. The patient dies 3 days later of an unrelated surgical complication. Examination of which area of the brain is most likely to reveal an intense cellular infiltrate?
A. Brainstem
B. Cerebellum
C. Frontal lobe
D. Occipital lobe
E. Parietal lobe
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| seem.bh
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e. parietal lobe ?
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| jean robert
Forum Guru
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E
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| Tiff
Forum Guru
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Spatial problems - Parietal - Choice E
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| paheli
It'sAllAboutGoodKarma
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Yep, E.
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| silver
Forum Guru
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ANSWER: E
Embolization from infective endocarditis typically causes multiple, small parietal lobe abscesses. This "factoid" is worth knowing because some patients with infective endocarditis present with what may appear to be multiple, small "strokes" clinically, but their treatable cardiac disease may be completely unsuspected. Parietal lobe infarcts, depending on right or left dominance, would result in a defect in spatial recognition.
Emboli to brainstem may result in cranial nerve defects or respiratory center compromise.
Cerebellum is often affected in alcoholism. It's not a common site for septic emboli.
Frontal lobe is not as common a site for septic emboli as the parieta lobe.
Occipital lobe emboli can result in cortical blindness.
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| new_n_lost
Politically InCorrect
Topics: 653
Posts: 6,071
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Hmmm missed the fun
In a man's case the problem is that he has got 2 brains and all teh blood can flow to only one. So flip a coin.
While woman's case well there was saying htat Hell Hath No Fury as a woman scorned well till recently the saying changed to woman/mistress. the word mistress be given a special recognition. 
As for the Spatial recognition wasnt it a temporal lobe - hippocampal thingy.
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