USMLE Forum Archives - USMLE Step 3 - Neurology- Neck Pain
Neurology- Neck Pain
harry206 - 02-15-10 23:30
A 22-year-old man is evaluated in the emergency department 8 hours after the sudden onset of moderate neck pain followed by 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?
harry206 - 02-15-10 23:30
A 22-year-old man is evaluated in the emergency department 8 hours after the sudden onset of moderate neck pain followed by 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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#2
Re: Neurology- Neck Pain conym5 - 02-16-10 10:07 My answer is: b.
The major goal of carotid ultrasound is to screen patients for blockage or narrowing of their carotid arteries, which if present may increase their risk of having a stroke.
#4
Re: Neurology- Neck Pain ophthalmologist - 02-16-10 16:41 My answer is: c.
1-he is young ?!!
2-sings of laterlization.
3-i suspect abnormality in the cerebral vessels ....cogenital/vasculits ?!
#5
Re: Neurology- Neck Pain drsmichaels - 02-16-10 16:48 My answer is: c.
Stroke like symptoms sudden onset
Possible small cerebellar disease or anomaly
Sympathetic component MRI MRA is more sensitive for anatomical neurovascular imaging than non contrast CT
#16
Re: Neurology- Neck Pain babbu5508 - 08-29-10 02:06 My answer is: c.
to look for any abnormalities of vessels with increased likelihood of stroke...in a young pateint due to congenital abnormalities.
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