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A 56-Year-Old Man Comes to the Emergency Department an Hour

question 1100

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A 56-year-old man comes to the emergency department an hour after acute onset of right-sided weakness and numbness.  His symptoms progressed over a course of several minutes, and he is now experiencing nausea and headache.  The patient has not seen a physician for many years and takes no medications.  He has smoked a half pack of cigarettes per day for 32 years.  Blood pressure is 170/90 mm Hg and pulse is 88/min.  Physical examination shows 3/5 muscle strength and hyperreflexia in the right upper and lower extremities.  Sensation to pinprick and light touch is decreased on the right side.  He has mild dysarthria.  ECG shows normal sinus rhythm and left ventricular hypertrophy.  Fingerstick blood glucose is 130 mg/dL and serum LDL is 142 mg/dL.  Noncontrast head CT scan is shown below. A 56-year-old man comes to the emergency department an hour after acute onset of right-sided weakness and numbness.  His symptoms progressed over a course of several minutes, and he is now experiencing nausea and headache.  The patient has not seen a physician for many years and takes no medications.  He has smoked a half pack of cigarettes per day for 32 years.  Blood pressure is 170/90 mm Hg and pulse is 88/min.  Physical examination shows 3/5 muscle strength and hyperreflexia in the right upper and lower extremities.  Sensation to pinprick and light touch is decreased on the right side.  He has mild dysarthria.  ECG shows normal sinus rhythm and left ventricular hypertrophy.  Fingerstick blood glucose is 130 mg/dL and serum LDL is 142 mg/dL.  Noncontrast head CT scan is shown below.   Which of the following is the most likely cause of this patient's symptoms? A) Amyloid vasculopathy B) Arteriovenous malformation C) Berry aneurysm D) Carotid artery atherosclerosis E) Cerebral venous thrombosis F) Hypertensive vasculopathy G) Injury of the middle meningeal artery H) Metastatic carcinoma I) Tearing of the bridging veins Which of the following is the most likely cause of this patient's symptoms?

Understand the orientation and comparative anatomy terms and their proper usage.
Identify and describe the major body planes and sections.
Recognize the anatomical regions of the human body.
Comprehend the underlying anatomical structure for common clinical procedures.

Definitions:

Behavioral Consistency

The tendency of an individual to exhibit the same behaviors across different situations and over time.

Individual's Behavior

Actions or reactions of a person in response to external or internal stimuli.

Lab Observations

The process of watching subjects in a controlled environment to gather data, often used in experimental studies.

Person-Situation Interaction

The theoretical analysis of how people behave in different situations and how personal characteristics interact with situational factors to influence behavior.

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