USMLE Forum Archives - USMLE Step 3 - neuro
neuro
conym5 - 08-10-09 22:16
A 35-year-old man comes to the ER vertigo, ataxia, slurred speech, and difficulty swallowing. His medical history is unremarkable and he is not taking any medications. Physical examination shows left ptosis, anisocoria with the left pupil smaller than the right, nystagmus, left-sided dysmetria, and decreased pain and temperature sensation on the left side of the face and right side of the body. CT scan of the brain is normal.
Which of the following is the most appropriate next step in the evaluation of this patient?
conym5 - 08-10-09 22:16
A 35-year-old man comes to the ER vertigo, ataxia, slurred speech, and difficulty swallowing. His medical history is unremarkable and he is not taking any medications. Physical examination shows left ptosis, anisocoria with the left pupil smaller than the right, nystagmus, left-sided dysmetria, and decreased pain and temperature sensation on the left side of the face and right side of the body. CT scan of the brain is normal.
Which of the following is the most appropriate next step in the evaluation of this patient?
The correct answer and explanation will be available after you answer.
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#10
Re: neuro babbu5508 - 07-07-10 13:19 My answer is: d.
the patient is likely having lateral medullary syndrome...the infarct might not show up immediately on CT scan
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